FDA Adverse Event Malfunction Summary report: N

HEADED REAMER 6MM, CANNULATED

MDR report key: 19750651 · Received July 16, 2024

Report

Report Number
1220246-2024-06769
Event Type
Malfunction
Date Received
July 16, 2024
Date of Event
June 21, 2024
Report Date
September 30, 2024
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867016620
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

COMPLAINT ALLEGATION IS CONFIRMED. ONE UNPACKAGED AR-1406 CANNULATED HEADED REAMER, 6 MM LOT NUMBER: 022232 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION NOTED WEAR AND TEAR ON THE DEVICE WITH SLIGHTLY FADED LASER MARKINGS AND DISCOLORATION OBSERVED THROUGHOUT THE DEVICE. IT WAS FURTHER NOTED THAT THERE WAS DAMAGE TO THE TIP OF THE DEVICE WITH SCRATCHES OBSERVED ON THE FLUTE AREA OF THE DEVICE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO WEAR AND TEAR INCURRED FROM REPEATED USE. MANUFACTURED DATE: 26-AUG-2022.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE DRILL IS DULL. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY REPORTED. THERE WAS NO CASE INVOLVEMENT REPORTED. NO FURTHER INFORMATION RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2508111 HEADED REAMER 6MM, CANNULATED ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. HEADED REAMER 6MM, CANNULATED 022232 00888867016620

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown