FDA Adverse Event Malfunction Summary report: N

FLIPCUTTER II, SHORT 9.5MM

MDR report key: 19352211 · Received May 20, 2024

Report

Report Number
1220246-2024-03523
Event Type
Malfunction
Date Received
May 20, 2024
Date of Event
July 11, 2022
Report Date
May 20, 2024
Manufacturer
ARTHREX, INC.
Product Code
HWE
UDI-DI
00888867004443
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS 3500A RECORD IS SUBMITTED TO COMPLY WITH AN FDA 483 INSPECTIONAL OBSERVATION ISSUED TO ARTHREX INC ON MAY 5, 2023. ARTHREX HAS REASSESSED THE REPORTABILITY DECISIONS MADE ON HISTORICAL COMPLAINT RECORDS USING REVISED CRITERION. THIS 3500A DOCUMENT IS A RESULT OF THE REASSESSMENT. VISUAL INSPECTION UNREMARKABLE. FUNCTIONAL TESTING FOUND THAT THE DEVICE WAS STUCK IN THE OPEN POSITION. COMPLAINT WAS CONFIRMED. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE/MISHANDLING DUE TO DAMAGE TO THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A KNEE ARTHROSCOPY THE DEVICE DID NOT DETACH AND REMAINED IN OPEN POSITION IN MILLING MODE. ACCORDING TO THE SURGEON NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY OCCURRED. 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. UPDATE AVOE 21-JUL-2022. IT WAS CONFIRMED THAT THE ERROR OCCURRED OUTSIDE OF THE PATIENT. UPDATE AVOE 05-AUG-2022. IT WAS FURTHER CONFIRMED THAT THE ERROR OCCURRED PRIOR TO USE OF THE DEVICE ON THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1542169 FLIPCUTTER II, SHORT 9.5MM MANUAL INSTR, GENERAL SURGICAL HWE ARTHREX, INC. FLIPCUTTER II, SHORT 9.5MM 1344117854 00888867004443

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown