FDA Adverse Event Malfunction Summary report: N

DRILL NON-CANNULATED, 4MM

MDR report key: 22117836 · Received May 30, 2025

Report

Report Number
1220246-2025-02313
Event Type
Malfunction
Date Received
May 30, 2025
Date of Event
May 12, 2025
Report Date
July 28, 2025
Manufacturer
ARTHREX, INC.
Product Code
HWE
UDI-DI
00888867004450
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
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. COMPLAINT ALLEGATION IS CONFIRMED. UPON VISUAL INSPECTION, IT WAS NOTED THAT THE FLUTES OF THE DRILL WERE CHIPPED, AND ABRASION MARKS WERE VISIBLE AROUND THE FLUTES. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE OF FAILURE WAS MISALIGNED INSERTION AND/OR PRYING OR LEVERAGING THE DEVICE DURING USE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A LATARJET SURGERY WITH CORACOID BONEBLOCK THE DRILLS WERE BLUNT. 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. UPDATE, KHE, 30-MAY2025 THE DEVICE WAS PART OF THE LOAN SET DLS-GBL-IN-10145513.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
27634 DRILL NON-CANNULATED, 4MM DRILL BIT HWE ARTHREX, INC. DRILL NON-CANNULATED, 4MM 022431 00888867004450

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown