FDA Adverse Event Malfunction Summary report: N

BURR, OVAL, 8 FLUTE 5.0MM X 13CM

MDR report key: 17767781 · Received September 18, 2023

Report

Report Number
1220246-2023-07937
Event Type
Malfunction
Date Received
September 18, 2023
Date of Event
August 23, 2023
Report Date
August 14, 2024
Manufacturer
ARTHREX, INC.
Product Code
GFF
UDI-DI
00888867043862
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE CONTRIBUTION OF THE DEVICE TO THE REPORTED EVENT COULD NOT BE DETERMINED AS THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED FROM THE INFORMATION AVAILABLE AND WITHOUT DEVICE EVALUATION. IF THE DEVICE BECOMES AVAILABLE FOR EVALUATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

COMPLAINT CONFIRMED. ONE UNPACKAGED AR-8500OBE SERIAL/BATCH NUMBER (B)(6) WAS RECEIVED FOR EVALUATION. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO DAMAGE TO THE DEVICE. VISUAL EVALUATION OF THE INNER TUBE FOUND THAT THE SHRINK TUBING WAS CRACKED/DAMAGED AT THE DISTAL AND PROXIMAL END; MOST LIKELY CAUSE FOR POOR FLOW IRRIGATION. ACCORDING TO DFU-0215-7 AT REVISION 0. 9. IRREVERSIBLE DAMAGE TO ALL DEVICES WILL RESULT IF THEY ARE RUN WITHOUT THE FLOW OF IRRIGATION (DRY).10. RUNNING THE DEVICE WITHOUT THE FLOW OF IRRIGATION (DRY) WILL CAUSE THE DEVICE TO EXCESSIVELY HEAT AND MAY CAUSE A THERMAL BURN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SHAVER ATTACHMENT IS DEFECTIVE. IT DOES NOT RUN SMOOTHLY AND IT COULD NOT BE USED ANYMORE. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY REPORTED. NO FURTHER INFORMATION RECEIVED. ***UPDATE 29-AUG-2023 NROE: FURTHER INFORMATION REVEALED THAT THIS INCIDENT OCCURRED DURING AN ARTHROSCOPY. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. THE SURGERY WAS FINISHED SUCCESSFULLY WITH A NEW DEVICE WITH THE SAME PART NUMBER. IT WAS NOT NECESSARY TO SWITCH THE SURGICAL TECHNIQUE OR DO A SECOND SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1948483 BURR, OVAL, 8 FLUTE 5.0MM X 13CM BURR,SURGICAL GFF ARTHREX, INC. BURR, OVAL, 8 FLUTE 5.0MM X 13CM 15040614 00888867043862

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown