MAUDE Adverse Event Report: ARTHREX, INC. HD SCORPION NEEDLE (5 PACK); ORTHOPEDIC MANUAL SURG INSTR

Model Number HD SCORPION NEEDLE (5 PACK)

Device Problem Break (1069)

Patient Problem Foreign Body In Patient (2687)

Event Date 02/20/2024

Event Type  malfunction  

Manufacturer Narrative

The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.

Event Description

On 02/21/2024, it was reported by a facility representative via email that an ar-13999hdn scorpion needle tip broke off.The piece remains inside the patient.This occurred during use in a case.Doctor elected to bypass x-ray confirmation of needle tip placement in patient as well as any surgical intervention as it would be more traumatic to attempt to remove it.

• Brand Name: HD SCORPION NEEDLE (5 PACK)
• Type of Device: ORTHOPEDIC MANUAL SURG INSTR
• 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: jared engle ; 8009337001
• MDR Report Key: 18857962
• MDR Text Key: 337156219
• Report Number: 1220246-2024-01353
• Device Sequence Number: 1
• Product Code: LXH
• UDI-Device Identifier: 00888867374003
• UDI-Public: 00888867374003
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: User Facility
• Reporter Occupation: Administrator/Supervisor
• Type of Report: Initial
• Report Date: 03/07/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 03/07/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: HD SCORPION NEEDLE (5 PACK)
• Device Catalogue Number: AR-13999HDN
• Device Lot Number: 15141378
• Was Device Available for Evaluation?: Yes
• Date Manufacturer Received: 02/21/2024
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 09/13/2023
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1