FDA Adverse Event Malfunction Summary report: N

SCREWDRIVER BIT T15, AO FITTING

MDR report key: 6922110 · Received October 6, 2017

Report

Report Number
0008031020-2017-00583
Event Type
Malfunction
Date Received
October 6, 2017
Date of Event
September 12, 2017
Report Date
March 2, 2018
Manufacturer
STRYKER GMBH
Product Code
HWC
PMA / PMN Number
K133440
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED FAILURE MODE COULD BE CONFIRMED BY THE INSPECTION OF THE RETURNED DEVICES. THE DHR ARE WAS REVIEWED AND NO ABNORMALITIES WERE FOUND. THEREFORE, THE SCREWDRIVERS WERE ACCORDING TO SPECIFICATIONS. EXPLANT OF SCREWS IS TYPICALLY MORE DIFFICULT THAN THE INSERTION OF SCREWS. THE PATIENT IS A YOUNG MAN. THE EXPLANATION WAS DONE A YEAR AFTER THE IMPLANTATION BY THE SAME SURGEON. IT IS POSSIBLE THAT BONE BUILDS UP A STRONG ADHERENCE TO THE SCREWS DURING ONE YEAR. THIS MAY HAVE LED TO THE DIFFICULTIES DURING THE EXPLANATION. FROM THE DEVICE INSPECTION, THE SIGNIFICANT ORTHOGONAL FRACTURE ALONG THE SURFACE OF THE DEVICE, WHICH IS VERY ROUGH, INDICATES THAT A VERY HIGH TORQUE WAS APPLIED INSTANTANEOUSLY TO FREE THE SCREW FROM THE STATIC FRICTION / ADHESION. THE ROOT CAUSE IS MOST LIKELY THE APPLICATION OF HIGH TORQUE. FURTHERMORE, FROM THE PROVIDED IMAGES, IT CAN BE SEEN THAT NO TORQUE LIMITER WAS USED.

Description of Event or Problem · 0

IT WAS REPORTED BY PRODUCT SPECIALIST THAT AT THE CLINIC (B)(6), A SURGERY WAS PERFORMED BY DR. (B)(6) (FIRST OPERATOR) AND DR. (B)(6) (SECOND OPERATOR) AN AXSOS 3 PLAQUE REMOVAL ACTION ON A YOUNG MAN PATIENT: A PROXIMAL MEDIAL TIBIAL PLAQUE AND A PROXIMAL LATERAL TIBIAL PLAQUE. PLATE IMPLANTATION WAS PERFORMED BY THE SAME SURGEONS A YEAR AGO. REMOVAL SURGERY (BEFORE THE LATERAL PLATE, THEN THE MEDIAL ONE) LASTED ABOUT 90 MINUTES LONGER SINCE THERE HAVE BEEN SOME PROBLEMS. THE TIP OF THE SINGLE KEYLESS T15 SCREWDRIVER (CODE 1806-6119, LOT K152426) BROKE RIGHT AWAY, NOT JUST DR (B)(6). WAS TRYING TO REMOVE A SCREW LOCK FROM THE SIDE PLATE; PRECISELY THAT THE SURGEON, EVEN BEFORE USING THE SCREWDRIVER, HE POINTED OUT THAT THE TIP WAS SLIGHTLY CROOKED, DEFECTIVE PROBABLY DUE TO WEAR. SINCE THERE WERE NO OTHER T15 SCREWDRIVERS AT THE CLINIC, WE STERILIZED THE INSTRUMENT EUK-AXS3-4MM-PLTTI-1., AFTER STERILIZATION, USING THE EUK-AXS3-4MM-PLTTI-1, THEY WERE ABLE TO REMOVE BOTH PLATES BUT WITH SOME DIFFICULTY: TWO T15 SCREWDRIVERS WERE BROKEN.

Additional Manufacturer Narrative · 1

ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 1

IT WAS REPORTED BY PRODUCT SPECIALIST THAT AT THE CLINIC (B)(6), A SURGERY WAS PERFORMED BY DR. (B)(6) (FIRST OPERATOR) AND DR. (B)(6) (SECOND OPERATOR) AN AXSOS 3 PLAQUE REMOVAL ACTION ON A YOUNG MAN PATIENT: A PROXIMAL MEDIAL TIBIAL PLAQUE AND A PROXIMAL LATERAL TIBIAL PLAQUE. PLATE IMPLANTATION WAS PERFORMED BY THE SAME SURGEONS A YEAR AGO. REMOVAL SURGERY (BEFORE THE LATERAL PLATE, THEN THE MEDIAL ONE) LASTED ABOUT 90 MINUTES LONGER SINCE THERE HAVE BEEN SOME PROBLEMS. THE TIP OF THE SINGLE KEYLESS T15 SCREWDRIVER (CODE 1806-6119, LOT K152426) BROKE RIGHT AWAY, NOT JUST DR (B)(6). WAS TRYING TO REMOVE A SCREW LOCK FROM THE SIDE PLATE; PRECISELY THAT THE SURGEON, EVEN BEFORE USING THE SCREWDRIVER, HE POINTED OUT THAT THE TIP WAS SLIGHTLY CROOKED, DEFECTIVE PROBABLY DUE TO WEAR. SINCE THERE WERE NO OTHER T15 SCREWDRIVERS AT THE CLINIC, WE STERILIZED THE INSTRUMENT (B)(4), AFTER STERILIZATION, USING THE (B)(4), THEY WERE ABLE TO REMOVE BOTH PLATES BUT WITH SOME DIFFICULTY: TWO T15 SCREWDRIVERS WERE BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
705195 SCREWDRIVER BIT T15, AO FITTING SCREW, FIXATION, BONE HWC STRYKER GMBH K0D5B99

Patients

Seq Age Sex Outcome Treatment
1 Other