FDA Adverse Event Malfunction Summary report: N

DRILL SAW SPORTS 400

MDR report key: 20556280 · Received October 29, 2024

Report

Report Number
1220246-2024-08292
Event Type
Malfunction
Date Received
October 29, 2024
Date of Event
September 20, 2024
Report Date
August 23, 2025
Manufacturer
ARTHREX, INC.
Product Code
HWE
UDI-DI
00888867223318
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

ADDITIONAL INFORMATION: D9, G3, H3, H6. THE REPORTED EVENT WAS CONFIRMED. THE MANUFACTURER EVALUATION REVEALED THE DRIVER IS BROKEN OFF. AR-400: THE DRIVER OF THE AR-400 IS BROKEN. THIS KNOWN ISSUE HAS ALREADY BEEN RESOLVED WITH AN APPROPRIATE CORRECTIVE MEASURE. THE DRIVER WAS REINFORCED WITH A RING (ASSEMBLY 775770, INDEX 00). AR-400SAG: THE ATTACHMENT WAS DISASSEMBLED TO ALLOW FOR A MORE DETAILED ANALYSIS. THE CAUSE OF THE FAILURE OF THE SAW ATTACHMENT IS A BROKEN CLAW (PART 5).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BOTH DEVICES ARE DEFECTIVE AND THEY WOBBLE. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. THERE WAS NO CASE INVOLVEMENT REPORTED. NO FURTHER INFORMATION RECEIVED. UPDATE, KHE, (B)(6) 2024. RECEIVE FURTHER INFORMATION. IT WAS REPORTED THAT THE MACHINE RUNS IRREGULARLY FROM THE SAW BLADE DURING USE. PER COMPLAINT REPORTER THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. UPDATE, KHE, (B)(6) 2024. FURTHER INFORMATION RECEIVED. THE EVENT OCCURRED DURING A REPOSITIONING OSTEOTOMY FEMUR. NO PIECE BROKE OFF INSIDE THE PATIENT. THE SURGERY WAS FINISHED SUCCESSFULLY WITH THE CLAIMED DEVICE. IT WAS NOT NECESSARY TO SWITCH THE SURGICAL TECHNIQUE OR DO A SECOND SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1197311 DRILL SAW SPORTS 400 POWERED SURG ORTHOPEDIC INSTR HWE ARTHREX, INC. DRILL SAW SPORTS 400 15211910 00888867223318

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown