ANGLED REAMER, DRIVE SHAFT
Report
- Report Number
- 1220246-2024-07040
- Event Type
- Malfunction
- Date Received
- August 6, 2024
- Date of Event
- July 17, 2024
- Report Date
- September 10, 2024
- Manufacturer
- ARTHREX, INC.
- Product Code
- LXH
- UDI-DI
- 00888867324954
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 501
Narratives
INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.
THE COMPLAINT ALLEGATION IS CONFIRMED. ONE UNPACKAGED, AR-9676, BATCH 022338, WAS RECEIVED FOR INVESTIGATION. VISUAL INSPECTION NOTED SIGNS OF GRINDING ON THE DISTAL AND PROXIMAL END OF THE DEVICE. FUNCTIONAL TESTING WITH A NEW MATING PART, AR-9597-20, NOTED THAT THE REAMER DID NOT MOVE FREELY WITHIN THE SHAFT OF THE AR-9597-20. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE DUE TO INTERFERENCE WITH THE MATING INSTRUMENT.
ON 07/17/2024, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS-(B)(4) THAT AN AR-9597-20 ANGLED REAMER SLEEVE, 20 AND AN AR-9676 ANGLED REAMER, DRIVE SHAFT WAS CEASED AND STUCK AND WERE NOT ABLE TO SPIN ON EACH OTHER. THIS WAS DISCOVERED BEFORE THE CASE, WITH NO CASE INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1770288 | ANGLED REAMER, DRIVE SHAFT | MANUAL INSTR, GENERAL SURGICAL | LXH | ARTHREX, INC. | ANGLED REAMER, DRIVE SHAFT | 022338 | 00888867324954 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |