FDA Adverse Event
Malfunction
Summary report: N
SWITCHCUT REAMER KIT 4.5X9.0MM
MDR report key: 10777403
·
Received November 3, 2020
Report
- Report Number
- 8043971-2020-01520
- Event Type
- Malfunction
- Date Received
- November 3, 2020
- Date of Event
- February 20, 2020
- Report Date
- February 20, 2020
- Manufacturer
- T.A.G. MEDICAL PRODUCTS CORPORATION LTD
- Product Code
- MBI
- UDI-DI
- 01081019001387
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- 501
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE IS EXTREMELY BADLY DAMAGED WITH FRICTION MARKS AND TORN PARTS. ALSO , USAGE EXCEEDED EXPECTED PRODUCT LIFE. IT SHOULD BE USED ONLY 1 YEAR.
Description of Event or Problem · 1
IT WAS REPORTED DURING THE PROCEDURE THE SWITCHCUT REAMER BECAME WEDGED IN THE 4.5MM CANNULA/DRILL SLEEVE. WE THEN OPENED A SECOND SWITCHCUT AND INSTRUMENT SET. AS SURGEON WAS DRILLING THE SWITCHCUT REAMER AGAIN GOT STUCK IN THE SLEEVE AND HE COULDN'T PROCEED. SURGEON HAD TO SWITCH TO ARTHREX TO COMPLETE THE PROCEDURE. 1 HOUR AND 30 MIN DELAY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1241070 | SWITCHCUT REAMER KIT 4.5X9.0MM | SWITCHCUT REAMER KIT 4.5X9.0MM | MBI | T.A.G. MEDICAL PRODUCTS CORPORATION LTD | 110027680 | 16R18 | 01081019001387 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |