SMITH & NEPHEW ORTHOPAEDICS LTD BHR SLEEVE CUTTER SZ 50; PROSTHESIS, HIP, SEMI-CONSTRAINED, METAL/METAL, RESURFACING
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Model Number 90127600 |
Device Problems
Dull, Blunt (2407); Naturally Worn (2988)
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Patient Problems
No Consequences Or Impact To Patient (2199); No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/26/2020 |
Event Type
malfunction
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Event Description
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It was reported that, during set up inspection process, was noticed that the birmingham hip sleeve cutter size 50 is dull.The procedure was completed using a smith and nephew back up device, with no surgical delay and no injury to the patient.
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Manufacturer Narrative
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A bhr sleeve cutter size 50 (90127600, 18.231386) was returned for investigation, reported as dull.A visual inspection was performed, which noted small number of marks and scratches across the device, consistent with surgical use.The cutting edges have been dulled, with some being slightly deformed.This confirms the reported complaint.A review of the complaint history for the bhr sleeve cutter was performed using part and batch numbers in search of similar recurring reports for the products during their lifetimes.Similar complaints have been identified.This will continue to be monitored.The production records were reviewed for the devices reportedly involved in this incident.Review of manufacturing records did not reveal any waivers, concessions, manufacturing or material abnormalities that could have contributed to this issue.Based on the available information, the proposed probable root cause for the failure is expected wear.Smith and nephew recommend that all re-usable instruments be routinely inspected for wear/damage and replaced as necessary.No preventative or corrective action has been initiated as a result of this investigation.The device cannot be repaired and will be retained.
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