FDA Adverse Event Injury Summary report: N

18.0MM REAMER HEAD FOR RIA 2 STERILE

MDR report key: 11135587 · Received January 7, 2021

Report

Report Number
8030965-2021-00154
Event Type
Injury
Date Received
January 7, 2021
Date of Event
December 10, 2020
Report Date
December 10, 2020
Manufacturer
WRIGHTS LANE SYNTHES USA PRODUCTS LLC
Product Code
HTO
PMA / PMN Number
K111437
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

DEPUY SYNTHES IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH DEPUY SYNTHES HAS NOT BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY FDA, DEPUY SYNTHES OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. H9:FDA CORRECTION/ REMOVAL REPORTING NO.: 3008812560-10/26/2020-001-C. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 0

DEPUY SYNTHES IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH DEPUY SYNTHES HAS NOT BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY FDA, DEPUY SYNTHES OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. H10 ADDITIONAL NARRATIVE: H3, H4, H6- PRODUCT WAS NOT RETURNED. BASED ON THE INFORMATION AVAILABLE, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND PREVENTATIVE ACTION IS PROPOSED. THIS COMPLAINT WILL BE ACCOUNTED FOR AND MONITORED VIA POST MARKET SURVEILLANCE ACTIVITIES. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. DEVICE HISTORY LOT : PART # 03.404.032S. SYNTHES LOT # 26P6726. SUPPLIER LOT # N/A. SUPPLIER BATCH #6772017. RELEASE TO WAREHOUSE DATE: 12DEC2019. EXPIRATION DATE: 01NOV2029. SUPPLIER: (B)(4). NO NCR'S WERE GENERATED DURING PRODUCTION. DEVICE HISTORY BATCH :NULL. DEVICE HISTORY REVIEW : REVIEW OF THE DEVICE HISTORY RECORD SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THIS PRODUCT, AND ANY SUBCOMPONENTS, WHICH WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative · 0

PRODUCT COMPLAINT # (B)(4). DEPUY SYNTHES IS SUBMITTING THIS REPORT PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH DEPUY SYNTHES HAS NOT BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY FDA, DEPUY SYNTHES OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. H10 ADDITIONAL NARRATIVE: B5: UPDATED EVENT DESCRIPTION D1, D2A, D4: UPDATED D2: ADDITIONAL PRODUCT CODE : HTO D10: UPDATED CONCOMITANT PRODUCTS G1: UPDATED DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 0

UPDATED EVENT DESCRIPTION. CONCOMITANT DEVICES REPORTED: REAMER HEAD F/RIA 2 Ø14.5 (PART# 03.404.025S, LOT# 38P7779 , QUANTITY# 1) REAMER HEAD F/RIA 2 Ø17 (PART# 03.404.030S, LOT# 57P0546, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø15 (PART# 03.404.026S, LOT# 28P3145, QUANTITY# 1) DEPTH GAUGE F/NAILS (PART# 351.717, LOT# H497060, QUANTITY# 1) DRIVE SHAFT F/RIA 2 L520 (PART# 03.404.035, LOT# H887254, QUANTITY# 2) ELONGATION TUBE F/REAMRODS F/DEPTH GAUGE (PART# 351.719, LOT# H857290, QUANTITY# 1) SYNREAM REAMING ROD Ø2.5 SHORT L950 (PART# 352.032S, LOT# 7L09436, QUANTITY# 1) NTOC CASE FOR RIA 2 INSTRUMENT SET 2/2 (PART# 68.033.113, LOT# UNKNOWN, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø17.5 (PART# 03.404.031S, LOT# 56P5873, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø10.5 (PART# 03.404.017S, LOT# 45P4761, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø13.5 (PART# 03.404.023S, LOT# 38P7776, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø12.5 (PART# 03.404.021S, LOT# 26P6736, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø11.5 (PART# 03.404.019S, LOT# 26P6731, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø16 (PART# 03.404.028S, LOT# 38P4643, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø15.5 (PART# 03.404.027S, LOT# 26P3634, QUANTITY# 1) REAMER HEAD F/RIA 2 Ø16.5 (PART# 03.404.029S, LOT# 38P0173, QUANTITY# 1) THIS COMPLAINT INVOLVES TEN (10) DEVICES.

Additional Manufacturer Narrative · 1

510K: THIS REPORT IS FOR AN UNKNOWN REAMER HEAD II/UNKNOWN LOT. PART AND LOT NUMBER ARE UNKNOWN. WITHOUT THE SPECIFIC PART NUMBER; THE UDI NUMBER AND 510-K NUMBER IS UNKNOWN. COMPLAINANT PART IS NOT EXPECTED TO BE RETURNED FOR MANUFACTURER REVIEW/INVESTIGATION. (B)(4). WITHOUT A LOT NUMBER THE DEVICE HISTORY RECORDS REVIEW COULD NOT BE COMPLETED. PRODUCT WAS NOT RETURNED. BASED ON THE INFORMATION AVAILABLE, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND/OR PREVENTATIVE ACTION IS PROPOSED. THIS COMPLAINT WILL BE ACCOUNTED FOR AND MONITORED VIA POST MARKET SURVEILLANCE ACTIVITIES. IF ADDITIONAL INFORMATION IS MADE AVAILABLE, THE INVESTIGATION WILL BE UPDATED AS APPLICABLE. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 1

DEVICE REPORT FROM SYNTHES REPORTS AN EVENT IN (B)(6) AS FOLLOWS: IT WAS REPORTED THAT DURING AN UNKNOWN PROCEDURE ON (B)(6) 2020, THERE WAS A CONNECTION ISSUE BETWEEN THE SHAFT AND THE REAMER HEAD DURING THE USE OF THE REAMER / IRRIGATOR / ASPIRATOR (RIA) 2. ATTACHMENT OF THE REAMER HEAD EASILY UNCLIPPED WHEN PASSING HARD BONE (SITE OF PSEUDARTHROSIS) AND BROKE WITH FRAGMENT LOST IN THE FEMUR. THE BROKEN FRAGMENT WAS LEFT IN THE PATIENT. THE PROCEDURE WAS DELAYED FOR UNSPECIFIED AMOUNT BUT IT COULD STILL BE COMPLETED. NO FURTHER INFORMATION PROVIDED. CONCOMITANT DEVICE REPORTED: UNKNOWN RIA SHAFT(PART # UNKNOWN, LOT # UNKNOWN, QUANTITY 1) THIS REPORT IS FOR ONE (1) UNKNOWN REAMER HEAD II. THIS IS REPORT 1 OF 2 FOR COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
28661 18.0MM REAMER HEAD FOR RIA 2 STERILE REAMER HTO WRIGHTS LANE SYNTHES USA PRODUCTS LLC 26P6726

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention DEPTH GAUGE F/NAILS| DRIVE SHAFT F/RIA 2 L520| ELONGATION TUBE F/REAMRODS F/DEPTH GAUGE| NTOC CASE FOR RIA 2 INST. SET 2/2| REAMER HEAD F/RIA 2 Ø10.5| REAMER HEAD F/RIA 2 Ø11.5| REAMER HEAD F/RIA 2 Ø12.5| REAMER HEAD F/RIA 2 Ø13.5| REAMER HEAD F/RIA 2 Ø14.5| REAMER HEAD F/RIA 2 Ø15| REAMER HEAD F/RIA 2 Ø15.5| REAMER HEAD F/RIA 2 Ø16| REAMER HEAD F/RIA 2 Ø16.5| REAMER HEAD F/RIA 2 Ø17| REAMER HEAD F/RIA 2 Ø17.5| RIA 2 BONE HARVESTING KIT L520| SYNREAM REAMING ROD Ø2.5 SHORT L950| UNK - RIA SHAFT