FDA Adverse Event
Malfunction
Summary report: N
24MM PRIMARY REAMER
MDR report key: 21151889
·
Received January 14, 2025
Report
- Report Number
- 1220246-2025-09452
- Event Type
- Malfunction
- Date Received
- January 14, 2025
- Date of Event
- December 23, 2024
- Report Date
- March 20, 2025
- Manufacturer
- ARTHREX, INC.
- Product Code
- LXH
- UDI-DI
- 00888867298330
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- 003
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. ONE UNPACKAGED, AR-9618-24, 24 MM PRIMARY REAMER, SERIAL/BATCH NUMBER 021921, WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION NOTED THAT THE CUTTING BLADES WERE DULL AND NICKED. ADDITIONALLY, THE LASER MARKS WERE FADED. THE MOST LIKELY REASON FOR THE REPORTED FAILURE IS THE WEAR AND TEAR DAMAGE INCURRED OVER REPEATED USAGE. THE MANUFACTURING DATE IS 2019. COMPLAINT ALLEGATION IS CONFIRMED.
Description of Event or Problem · 0
ON 12/23/2024 IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS-06741385 THAT (QTY. 6) OF AN AR-9618-24 PRIMARY REAMERS HAD GROWN DULL. THIS WAS DISCOVERED DURING THE CASE WITH NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1425730 | 24MM PRIMARY REAMER | ORTHOPEDIC MANUAL SURG INSTR | LXH | ARTHREX, INC. | 24MM PRIMARY REAMER | 021921 | 00888867298330 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |