FDA Adverse Event Malfunction Summary report: N

DEPTH GAUGE, 6.5/7.3MM

MDR report key: 18318291 · Received December 13, 2023

Report

Report Number
2027754-2023-00074
Event Type
Malfunction
Date Received
December 13, 2023
Date of Event
November 13, 2023
Report Date
December 13, 2023
Manufacturer
OSTEOMED, LLC
Product Code
HWC
UDI-DI
00845694035613
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT THE WIRE IN THE ACCOMPANYING SET, 2.8MM GUIDEWIRE, WOULD NOT FIT THROUGH THE DEPTH GAUGE, 316-0017. THE DEPTH GAUGE WAS RETURNED FOR EVALUATION AND INSPECTION REVEALED A LABORATORY WIRE DID NOT FIT THROUGH THE DEPTH GAUGE, WHICH CONFIRMS THE REPORTED EVENT. THE OPENING WAS MEASURED BY QUALITY CONTROL AND CONFIRMED THERE IS A MISALIGNMENT POTENTIALLY CAUSED DURING WELDING. REVIEW OF THE DHR REVEALED ALL INSPECTIONS PASSED WITH NO ANOMALIES IDENTIFIED. THERE WAS NO REMAINING INVENTORY OF THIS PART NUMBER AND LOT NUMBER FOR REVIEW. A REVIEW OF COMPLAINT HISTORY REVEALED NO OTHER COMPLAINTS FOR PART NUMBER 316-0017.

Description of Event or Problem · 0

IT WAS REPORTED DURING THE TRIPLE ANKLE ARTHODESIS SURGERY, THE SPECIALIST DECIDES TO PLACE A CANULATED SCREW WITH A 6.5MM HEAD FROM THE CANULATED SET. AT THE TIME OF PLACING THIS SCREW, THE SPECIALIST IMPLANTS A 2.8 GUIDE AND WHEN HE IS GOING TO ENHANCE THE MEASUREMENT WITH THE DEPTH GAUGE (PART NUMBER 316-0017), IT WAS NOTED THE GUIDE DID NOT GO THROUGH THE DEPTH GAUGE. THE SPECIALIST TRIED TO CHANGE GUIDES BUT NONE OF THE GUIDES IN THE SET WENT THROUGH THE DEPTH GAUGE, THE SPECIALIST MEASURED WITH THE HELP OF ANOTHER GUIDE TO COMPLETE THE SURGERY. THIS PROLONGED THE SURGERY BY 35 MINUTES. NO OTHER ADVERSE PATIENT CONSEQUENCES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1580396 DEPTH GAUGE, 6.5/7.3MM SCREW, FIXATION, BONE HWC OSTEOMED, LLC 316-0017 1167639 00845694035613

Patients

Seq Age Sex Outcome Treatment
1 32 YR Male