BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DRILL, 2.75MM, .066 CANNULATION

    MDR report key: 22118913 · Received May 30, 2025

    Report

    Report Number
    1220246-2025-02319
    Event Type
    Malfunction
    Date Received
    May 30, 2025
    Date of Event
    May 12, 2025
    Report Date
    July 28, 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 FLUTES OF THE DRILL WERE CHIPPED, ABRASION MARKS WERE VISIBLE AROUND THE FLUTES AND THE THREE TIPS OF THE FLUTES WERE WORN OUT. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE OF FAILURE WAS MISALIGNED INSERTION, WHICH DAMAGED THE DEVICE.

    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-10145474.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    667051 DRILL, 2.75MM, .066 CANNULATION MANUAL INSTR, GENERAL SURGICAL MDM ARTHREX, INC. DRILL, 2.75MM, .066 CANNULATION 022428 00888867040908

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown