FDA Adverse Event Malfunction Summary report: N

STEP DRL,2.4MM/3.0MM TISSTAK/BIO-S-TAK

MDR report key: 18838913 · Received March 5, 2024

Report

Report Number
1220246-2024-01302
Event Type
Malfunction
Date Received
March 5, 2024
Date of Event
February 13, 2024
Report Date
August 29, 2024
Manufacturer
ARTHREX, INC.
Product Code
HWE
UDI-DI
00888867006287
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 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 ALLEGATION IS CONFIRMED. UPON VISUAL INSPECTION, IT WAS NOTED THAT THE STEP DRILL FOR 3.0MM BIO-SUTURETAK® WAS RETURNED STUCK INSIDE AR-1946. THE DRILL WAS OBSERVED WITH RUST SPOTS AROUND THE EDGES OF THE FLAT AREAS OF THE DRILL. FUNCTIONAL TESTING PERFORMED CONFIRM THAT THE STEP DRILL WAS NOT ABLE TO MOVE FROM THE INNER DIAMETER OF THE SPEAR, FOR 2.8 MM FASTAK¿ II, 3.0 MM SUTURETAK®, TROCAR AND 2.9 MM PUSHL OCK®, TROCAR TIP WITH CIRCUMFERENTIAL TEETH. THE MOST LIKELY CAUSE OF THIS FAILURE IS ATTRIBUTED TO WEAR AND TEAR DAMAGE INCURRED OVER REPEATED USAGE OF THE AR-1946 THAT WAS MANUFACTURED IN 2014.

Description of Event or Problem · 0

ON 02/19/2024, IT WAS REPORTED BY AN ARTHREX SUBSIDIARY EMPLOYEE VIA (B)(4) THAT AN AR-1250LT STEP DRILL GOT STUCK IN THE DRILL GUIDE WHEN MAKING THE PRE-HOLE. THIS OCCURRED DURING A CASE WHERE ANOTHER AR-1250LT WAS USED TO COMPLETE THE CASE. THERE WAS NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1882294 STEP DRL,2.4MM/3.0MM TISSTAK/BIO-S-TAK DRILL BIT HWE ARTHREX, INC. STEP DRL,2.4MM/3.0MM TISSTAK/BIO-S-TAK UNK 00888867006287

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown