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Catalog Number 72204045 |
Device Problems
Break (1069); Material Deformation (2976); Insufficient Information (3190)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 08/07/2023 |
Event Type
malfunction
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Event Description
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It was reported that during a knee arthroscopy, the acufex retrograde drill's blade was not working correctly, no more details are available.No additional patient information is available.The procedure was successfully completed with a non-significant surgical delay using a smith and nephew back up device.No further complications were reported.The results of investigation revealed that the device´s outer shaft with depth markings was fractured away from the inner shaft and the distal end was deformed and totally crimped out; as well the actuator wire was attached to the grey slider, however the entire distal end is missing and it has biological debris.
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Manufacturer Narrative
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Internal complaint reference (b)(4).
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Manufacturer Narrative
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H6, medical device problem code updated.H3, h6: the reported device was received for evaluation.A visual inspection of the returned device found that it is not in its original packaging.The device has the outer shaft with depth markings fractured away from the inner shaft.The actuator wire is attached to the grey slider but the entire distal end of the device is missing.The distal end of the outer shaft is deformed and completely crimped shut.There is biological debris on the returned device.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 has been associated with unintended use of the device.Factors that could have contributed to the reported event include an application of unintended inappropriate or excessive force to the device, an impact event inconsistent with normal use, misuse or rough handling.No containment or corrective actions are recommended at this time.
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Search Alerts/Recalls
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