FDA Adverse Event Injury Summary report: N

SLOTTED MAXCUTTER

MDR report key: 3912826 · Received July 3, 2014

Report

Report Number
0001825034-2014-05939
Event Type
Injury
Date Received
July 3, 2014
Report Date
October 16, 2014
Manufacturer
BIOMET ORTHOPEDICS
Product Code
LXH
PMA / PMN Number
PEXEMPT
Removal / Correction Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT IDENTIFICATION NECESSARY TO REVIEW MANUFACTURING HISTORY WAS NOT PROVIDED. CURRENT INFORMATION IS INSUFFICIENT TO PERMIT A CONCLUSION AS TO THE CAUSE OF THE EVENT. DEVICE AVAILABILITY - THE DEVICE IS REPORTED TO BE AVAILABLE FOR EVALUATION; HOWEVER, IT HAS NOT BEEN RECEIVED BY BIOMET ORTHOPEDICS TO DATE. IN THE EVENT THAT THE DEVICE IS RECEIVED AND EVALUATED, A FOLLOW UP REPORT WILL BE SENT TO THE FDA TO PROVIDE RESULTS.

Additional Manufacturer Narrative · 1

DEVICE WAS FORWARDED TO SUPPLIER MANUFACTURER FOR EVALUATION. EVALUATION FOUND THE INSTRUMENT WAS NOT CLEANED PROPERLY RESULTING IN THE INSTRUMENT UNABLE TO FUNCTION. PICTURE OF HANDLE MECHANISM SHOWS LARGE QUANTITY OF MATERIAL CLOGGING THE MECHANISM. A REVIEW OF MANUFACTURING RECORDS REVEALED THE INSTRUMENT WAS MADE TO SPECIFICATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT PATIENT UNDERWENT A ROTATOR CUFF REPAIR UTILIZING A SLOTTED MAXCUTTER ON AN UNKNOWN DATE. DURING THE PROCEDURE, THE SURGEON WAS UNABLE TO CUT THE SUTURE WITH THE SLOTTED MAXCUTTER CAUSING A DELAY OVER AN HOUR. IT WAS FURTHER REPORTED THE PROCEDURE WAS COMPLETED USING ARTHROSCOPIC SCISSORS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
391203 SLOTTED MAXCUTTER ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH BIOMET ORTHOPEDICS N/A 089030

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R