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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. QUAD CUTTER; STRIPPER, SURGICAL

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SMITH & NEPHEW, INC. QUAD CUTTER; STRIPPER, SURGICAL Back to Search Results
Catalog Number 72205610
Device Problem Fracture (1260)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 09/13/2023
Event Type  malfunction  
Event Description
It was reported that after a procedure, the quad cutter¿s end piece, which holds the cutting blade, sheared off from the shaft.There was no patient involvement.
 
Manufacturer Narrative
H10: internal complaint reference (b)(4).
 
Manufacturer Narrative
H3, h6: the shipping information was provided; however, the subject device was not made available to the designated complaint unit and thus a physical product evaluation could not be performed.An image evaluation was performed and found the device and the end piece that secures the cutting blade was sheared off from the shaft.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specifications upon release for distribution.A complaint history review found similar reported events.A risk management review found that the reported failure and/or harm was documented appropriately, and there were no indications to suggest the anticipated risk is not adequate.The root cause could not be determined since findings cannot lead to a clear cause of the reported event.Factors that could have contributed to the reported event include excessive force on the device, attempted correction of a damaged device, or an inadvertent impact event inconsistent with normal use.No containment or corrective actions are recommended at this time.
 
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Brand Name
QUAD CUTTER
Type of Device
STRIPPER, SURGICAL
Manufacturer (Section D)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
Manufacturer (Section G)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
Manufacturer Contact
holly topping
7000 west william cannon drive
austin, TX 78735
5123913905
MDR Report Key17862126
MDR Text Key325389559
Report Number1219602-2023-01910
Device Sequence Number1
Product Code HRT
UDI-Device Identifier00885556818336
UDI-Public885556818336
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 05/09/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number72205610
Device Lot Number51072416
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 09/13/2023
Initial Date FDA Received10/03/2023
Supplement Dates Manufacturer Received05/08/2024
Supplement Dates FDA Received05/09/2024
Date Device Manufactured10/06/2022
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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