FDA Adverse Event Malfunction Summary report: N

DRILL, 2.75MM, .066 CANNULATION

MDR report key: 22118384 · Received May 30, 2025

Report

Report Number
1220246-2025-02315
Event Type
Malfunction
Date Received
May 30, 2025
Date of Event
May 12, 2025
Report Date
July 30, 2025
Manufacturer
ARTHREX, INC.
Product Code
MDM
UDI-DI
00888867040908
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 THREE TIPS OF THE FLUTES WERE WORN OUT. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE OF THIS FAILURE IS ATTRIBUTED TO A NORMAL WEAR AND TEAR DAMAGE INCURRED OVER REPEATEDLY USE IN THE FIELD.

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 THE SAME DEVICE. 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
643404 DRILL, 2.75MM, .066 CANNULATION MANUAL INSTR, GENERAL SURGICAL MDM ARTHREX, INC. DRILL, 2.75MM, .066 CANNULATION 022349 00888867040908

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown