SNOWDEN-PENCER DIAMOND-TIP WIRE/PIN CUTTER
Report
- Report Number
- 1423507-2023-00104
- Event Type
- Malfunction
- Date Received
- October 18, 2023
- Date of Event
- September 7, 2023
- Report Date
- October 18, 2023
- Manufacturer
- CAREFUSION INC.
- Product Code
- HXZ
- UDI-DI
- 10885403146060
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
V. MUELLER HAS REQUESTED THE DEVICE SUBJECT OF THE REPORTED EVENT BE RETURNED FOR EVALUATION. THE SNOWDEN-PENCER DIAMOND-TIP WIRE/PIN CUTTER INSTRUCTIONS FOR USE STATES, "INSPECTION/MAINTENANCE: INSPECT DEVICES BEFORE EACH USE FOR BROKEN, CRACKED, TARNISHED SURFACES, MOVEMENT OF HINGES, AND CHIPPED OR WORN PARTS. IF ANY OF THESE CONDITIONS APPEAR, DO NOT USE THE DEVICE. RETURN DEVICES TO AN AUTHORIZED REPAIR SERVICE CENTER FOR REPAIR OR REPLACEMENT." A 3-YEAR COMPLAINT REVIEW INDICATES THIS TO BE AN ISOLATED EVENT. A FOLLOW-UP MDR WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.
THE SNOWDEN-PENCER DIAMOND-TIP WIRE/PIN CUTTER WAS RETURNED TO THE SUPPLIER, XKA - KAPP SURGICAL GMBH FOR EVALUATION. THE EVALUATION INDICATED THAT THREE CHIPPINGS WERE NOTED ON THE CUTTING EDGE OF THE DEVICE. A SPECIFIC ROOT CAUSE COULD NOT BE DETERMINED. NO ADDITIONAL ISSUES HAVE BEEN REPORTED.
THE USER FACILITY REPORTED THAT DURING A PATIENT PROCEDURE, A METAL FLAKE FROM THEIR SNOWDEN-PENCER DIAMOND-TIP WIRE/PIN CUTTER FELL INTO THE PATIENT. THE METAL FLAKE WAS IMMEDIATELY REMOVED FROM THE PATIENT AND THE AREA WAS IRRIGATED. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO REPORT OF INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 178803 | SNOWDEN-PENCER DIAMOND-TIP WIRE/PIN CUTTER | WIRE/PIN CUTTER | HXZ | CAREFUSION INC. | 32-2816 | K22XKA | 10885403146060 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |