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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. ANGLED REAMER SLEEVE, 10°; MANUAL INSTR, GENERAL SURGICAL

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ARTHREX, INC. ANGLED REAMER SLEEVE, 10°; MANUAL INSTR, GENERAL SURGICAL Back to Search Results
Model Number ANGLED REAMER SLEEVE, 10°
Device Problem Device Damaged by Another Device (2915)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/20/2023
Event Type  malfunction  
Manufacturer Narrative
The complaint allegation was confirmed.One unpackaged ar-9597-10 serial/batch number (b)(6) was received for investigation.Functional testing with the returned ar-9676 batch 02210 and 022244 reveals the devices fit together.However, the devices do not rotate smoothly.Visual evaluation observed scratches lines around the outside diameter close to the proximal and distal ends.The most likely reason for the reported failure is the wear and tear damage incurred over repeated usage.Per dfu-0023 at revision 3.C.Validation.Repeated processing has minimal effect on these devices.End of life is normally determined by wear and damage due to the intended use.
 
Event Description
On (b)(6) 2023, it was reported by a sales representative via sems that an ar-9597-10 angled reamer sleeve heat welded to an ar-9676 angled reamer, along with a second ar-9676 angled reamer was damaged.This occurred during a revers total shoulder case on (b)(6) 2023, when reaming the glenoid with the mgs augment reamer, the surgeon noticed that it was not performing the way it typically does.After removing the reamer and handing it off to the back table for the tech to check it, they noticed that you could not disconnect the driver shaft and outer sleeve because they had heat welded together.They opened another mgs augment tray to complete the case, but when trying to separate the drive shaft from that 10-degree augment sleeve the driver shaft was damaged.There was no patient effect reported.
 
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Brand Name
ANGLED REAMER SLEEVE, 10°
Type of Device
MANUAL INSTR, GENERAL SURGICAL
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
emily shafer
8009337001
MDR Report Key17602408
MDR Text Key321724683
Report Number1220246-2023-07595
Device Sequence Number1
Product Code LXH
UDI-Device Identifier00888867343436
UDI-Public00888867343436
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Distributor
Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date 08/23/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/23/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberANGLED REAMER SLEEVE, 10°
Device Catalogue NumberAR-9597-10
Device Lot Number37622049
Was Device Available for Evaluation? Yes
Date Manufacturer Received07/25/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/16/2021
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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