FDA Adverse Event Malfunction Summary report: N

POWERASP,4.0MM X 13CM

MDR report key: 17343332 · Received July 18, 2023

Report

Report Number
1220246-2023-07192
Event Type
Malfunction
Date Received
July 18, 2023
Date of Event
June 12, 2023
Report Date
February 25, 2025
Manufacturer
ARTHREX, INC.
Product Code
GFF
UDI-DI
00888867043619
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE CONTRIBUTION OF THE DEVICE TO THE REPORTED EVENT HAS NOT YET BEEN DETERMINED AS THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION AT THIS TIME. A FOLLOW-UP REPORT WILL BE SUBMITTED, INCLUDING A MOST LIKELY CAUSE IF A ROOT CAUSE CAN NOT BE DETERMINED.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: G3, H3, H6 BASED ON THE INFORMATION PROVIDED WHICH MAY INCLUDE THE DEVICE (IF AVAILABLE AND RETURNED), PICTURES, VIDEOS, EVENT DESCRIPTION, AND ANY ADDITIONAL INFORMATION FROM THE FIELD, ARTHREX WAS ABLE TO CONCLUDE A MOST LIKELY CAUSE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE/MISHANDLING DUE TO DAMAGE TO THE DEVICE.

Description of Event or Problem · 0

ON (B)(6) 2023, IT WAS REPORTED BY A ARTHREX EMPLOYEE VIA SEMS THAT AN AR-8400BC BONE CUTTER AND AR-8400PR POWERRASP DO NOT WORK. THE SAME PROBLEM CONTINUES 2 TIMES. THIS WAS DISCOVERED DURING A CASE, USED A NEW PRODUCT AND THE CASE IS COMPLETED. NO PATIENT HARMS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
840058 POWERASP,4.0MM X 13CM MANUAL INSTR, GENERAL SURGICAL GFF ARTHREX, INC. POWERASP,4.0MM X 13CM 14938486 00888867043619

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown