FDA Adverse Event Malfunction Summary report: N

DEPTH DEVICE, 2.0 / 2.4MM

MDR report key: 18140585 · Received November 15, 2023

Report

Report Number
1220246-2023-08749
Event Type
Malfunction
Date Received
November 15, 2023
Date of Event
October 18, 2023
Report Date
October 25, 2024
Manufacturer
ARTHREX, INC.
Product Code
MDM
UDI-DI
00888867312807
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

COMPLAINT ALLEGATION IS NOT CONFIRMED. 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 OF THIS FAILURE IS ATTRIBUTED TO WEAR AND TEAR DAMAGE INCURRED OVER REPEATED USAGE. MANUFACTURED DATE 2019.

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.

Description of Event or Problem · 0

ON (B)(6) 2023, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS (B)(4) THAT AN AR-18700-27 DEPTH DEVICE AND AN AR-18700-35 DEPTH DEVICE WERE DEFECTIVE; BOTH DEVICES WOULD STICK WHEN ATTEMPTING TO READ DEPTH AND MAKING IT DIFFICULT FOR THE SURGEON TO GET AN ACCURATE READING. THE CASE WAS COMPLETED UTILIZING THE DEPTH GAUGE FROM THE 2.4/3.0 CFS SET. THIS HAS OCCURRED IN PREVIOUS CASES. THIS WAS DISCOVERED DURING AN METACARPAL FRACTURE PROCEDURE ON 10/18/2023, WITH NO REPORTED PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
286615 DEPTH DEVICE, 2.0 / 2.4MM MANUAL INSTR, GENERAL SURGICAL MDM ARTHREX, INC. DEPTH DEVICE, 2.0 / 2.4MM 051914 00888867312807

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown