FDA Adverse Event Malfunction Summary report: N

ANGLED REAMER, DRIVE SHAFT

MDR report key: 19917469 · Received August 6, 2024

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

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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