FDA Adverse Event Malfunction Summary report: N

10.0 MM FLIP CUTTER II

MDR report key: 19962698 · Received August 12, 2024

Report

Report Number
1220246-2024-07145
Event Type
Malfunction
Date Received
August 12, 2024
Date of Event
July 26, 2024
Report Date
October 2, 2024
Manufacturer
ARTHREX, INC.
Product Code
HWE
UDI-DI
00888867004115
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PL
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-1204AF-100 WAS RECEIVED FOR INVESTIGATION. UPON VISUAL INSPECTION, IT WAS NOTED THAT THE TIP CUTTER OF THE DEVICE WAS DAMAGED. FUNCTIONAL TESTING COULD NOT BE PERFORMED DUE TO THE DAMAGE OF THE DEVICE. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS MISUSE, WHICH INVOLVES APPLYING PRYING/LEVERAGING FORCES TO THE DEVICE.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: B5, G3, H3, H6 INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN ARTHROSCOPY AND OSTEOTOMY, AFTER INSERTION INTO THE TISSUE, THE DRILLING TIP OF THE RETROGRADE DRILL BROKE OFF. PER COMPLAINT REPORTER THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. 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.

Description of Event or Problem · 0

UPDATE DW (B)(6) 2024: FURTHER INFORMATION WAS PROVIDED THAT THE BROKEN PIECES WERE RETRIEVED OUT OF THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2301594 10.0 MM FLIP CUTTER II MANUAL INSTR, GENERAL SURGICAL HWE ARTHREX, INC. 10.0 MM FLIP CUTTER II 0282106975 00888867004115

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown