BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STARDRIVE SCREWDRIVER T25

    MDR report key: 8551196 · Received April 25, 2019

    Report

    Report Number
    2939274-2019-57660
    Event Type
    Malfunction
    Date Received
    April 25, 2019
    Report Date
    February 26, 2019
    Manufacturer
    WRIGHTS LANE SYNTHES USA PRODUCTS LLC
    Product Code
    HXX
    UDI-DI
    10886982188557
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    INITIAL REPORTER IS SYNTHES SALES REPRESENTATIVE. DEVICE HISTORY RECORDS REVIEW WAS COMPLETED FOR PART: 314.118, LOT: 7083580. MANUFACTURING LOCATION: (B)(4), RELEASE TO WAREHOUSE DATE: NOV 14, 2012. NO NON CONFORMANCE REPORTS WERE GENERATED DURING PRODUCTION. REVIEW OF THE DEVICE HISTORY RECORDS SHOWED THAT THERE WERE NO ISSUES DURING THE MANUFACTURE OF THE PRODUCT THAT WOULD CONTRIBUTE TO THIS COMPLAINT CONDITION. PRODUCT INVESTIGATION WAS COMPLETED. THE RETURNED INSTRUMENT WAS EXAMINED AND THERE IS NO EVIDENCE OF BROWN STAIN COMING OUT OF THE HANDLE. THE BALANCE OF THE DEVICE IS IN WORN CONDITION. THE RECEIVED CONDITION DOES NOT AGREE WITH THE COMPLAINT DESCRIPTION. THE DEVICE WAS ALSO DISCOVERED STRIPPED AT DISTAL TIP DURING INVESTIGATION. THE INSTRUMENTS WERE A MIX OF OLD AS WELL AS MORE RECENTLY MADE DEVICES. OF THE LATTER GROUP SOME DEVICES EXHIBITED LITTLE TO NO SIGN OF EVER USED IN THE OR/ REPROCESSED. THE OLDER DEVICES IDENTIFIABLE BY THEIR PART MARKING WERE PRODUCED DECADES AGO AND EXHIBITED NORMAL SIGNS OF EXTENSIVE USE THOUGH NONE OF THE HANDLES EXHIBITED SIGNS OF EXTREME ADVANCED DEGRADATION. THE MORE WORN DEVICES DID EXHIBIT SIGNS OF HEAVY USE VISIBLE AS BOTH WEAR OF THE STEEL SHAFT COMPONENT AND SMALL NICKS, SCRAPES, SPLITS AND GOUGES TO THE PHENOLIC. NONE OF THE SAMPLES EXHIBITED SIGNS OF LARGE FRACTURES OR FISSURES/ SPLITS IN THE PHENOLIC MATERIAL WHICH WOULD CREATE A CAVITY TO RETAIN FLUID FROM USE OR REPROCESSING. RELEVANT DRAWINGS FOR THE RETURNED DEVICE WERE REVIEWED AND NO ISSUES WERE IDENTIFIED. A DIMENSIONAL INSPECTION WAS NOT PERFORMED AS THE COMPLAINT IS RELATED TO FOREIGN SUBSTANCE AND NOT ANY RELEVANT FEATURE ON THE INSTRUMENT. THERE IS NO VISUAL EVIDENCE OR TANGIBLE EVIDENCE ON THE RETURNED INSTRUMENT THAT CONFIRMS THE REPORTED CONDITION. A DEFINITIVE ROOT CAUSE FOR THE REPORTED COMPLAINT CONDITION COULD NOT BE DETERMINED BECAUSE THE COMPLAINT COULD NOT BE CONFIRMED. IT HAS POSSIBILITY THAT 7 YEARS OF CONSTANT USE MIGHT HAVE CONTRIBUTED TO STRIPPED CONDITION. IT IS POSSIBLE THAT THE SPECIFIC STERILIZATION PROCEDURE AT THE REPORTING HOSPITAL HAS CONTRIBUTED TO THE REPORTED EVENT AND SUBSEQUENT DECONTAMINATION OF THE DEVICE AT SYNTHES MONUMENT SITE HAS REMOVED ALL EVIDENCE OF THE REPORTED CONDITION. HOWEVER, THIS CANNOT BE DEFINITIVELY CONFIRMED. DURING THE INVESTIGATION, NO PRODUCT DESIGN OR MANUFACTURING ISSUES WERE OBSERVED THAT MAY HAVE CONTRIBUTED TO THE COMPLAINT CONDITION. BASED ON THE INVESTIGATION FINDINGS, IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND/OR PREVENTATIVE ACTION IS PROPOSED. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

    Description of Event or Problem · 1

    DEVICE REPORT FROM (B)(6) REPORTS AN EVENT AS FOLLOWS: IT WAS REPORTED ON AN UNKNOWN DATE, CUSTOMER REPORTED DISSATISFACTION WITH THE PHENOLIC HANDLES OF THE FOLLOWING DEVICES: ONE (1) STARDRIVE SCREWDRIVER T25, ONE (1) SCREWDRIVER HEXAGONAL WITH HOLDING SLEEVE, ONE (1) SCREWDRIVER STARDRIVE, ONE (1) CANNULATED 4.0MM HEXAGONAL SCREWDRIVER. THE CUSTOMER HAS A MANDATE TO ELIMINATE ALL "WOODEN STYLE" HANDLES FROM THEIR FACILITIES WHEREVER POSSIBLE. UPON INITIAL INSPECTION OF THE RETURNED DEVICES, THESE DEVICES WERE NOTED TO HAVE DEFECTS. THIS REPORT IS FOR ONE (1) STARDRIVE SCREWDRIVER T25. THIS IS REPORT 1 OF 4 FOR (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    345760 STARDRIVE SCREWDRIVER T25 SCREWDRIVERS HXX WRIGHTS LANE SYNTHES USA PRODUCTS LLC 314.118 7083580 10886982188557

    Patients

    Seq Age Sex Outcome Treatment
    1