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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. DRILL, FLEXIBLE, ENDOSCOPIC, CANN, 10MM; ACCESSORIES,ARTHROSCOPIC

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SMITH & NEPHEW, INC. DRILL, FLEXIBLE, ENDOSCOPIC, CANN, 10MM; ACCESSORIES,ARTHROSCOPIC Back to Search Results
Catalog Number 7209739
Device Problems Device Inoperable (1663); Device Dislodged or Dislocated (2923)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 08/16/2014
Event Type  malfunction  
Manufacturer Narrative
One 10mm endoscopic cannulated flexible drill was returned for evaluation.Visual assessment confirmed the reported breakage.The drill has broken where it transitions from the large to small laser cut double helix.No material voids are present at the break area.Rockwell testing confirmed the drill met print specification.The cutting edges are slightly dull but are in relatively good condition.There is no measurable countersink at the cannulation of the distal tip.The vendor has implemented a corrective action to ensure that the countersink is compliant.There are no indications that would suggest that the device did not meet product specifications upon release into distribution.
 
Event Description
It was reported that the device snapped during a procedure.Device was returned.It was indicated it must have been a defected drill bit because it had never been used and snapped when the healthcare professional first began to drill.Defect was noted because the tip stopped moving but the bottom half kept spinning during the procedure.The drill was used in forward and barely penetrated the bone.It was stated that the healthcare professional may have lost 5 minutes of time.Healthcare professional removed the flexible house pin and used a rigid one and drilled with a rigid reamer.No report of patient injury or surgical complication.No other complications were noted.
 
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Brand Name
DRILL, FLEXIBLE, ENDOSCOPIC, CANN, 10MM
Type of Device
ACCESSORIES,ARTHROSCOPIC
Manufacturer (Section D)
SMITH & NEPHEW, INC.
130 forbes boulevard
mansfield MA 02048
Manufacturer (Section G)
SMITH & NEPHEW, INC.
130 forbes boulevard
mansfield MA 02048
Manufacturer Contact
jim gonzales
150 minuteman road
andover, MA 01810
5123585706
MDR Report Key5957009
MDR Text Key55259915
Report Number1219602-2016-00637
Device Sequence Number1
Product Code NBH
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 company representative,health
Reporter Occupation Health Professional
Type of Report Initial
Report Date 02/13/2015
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received09/16/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number7209739
Device Lot Number50260235
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/23/2015
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/13/2015
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured07/11/2008
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage N
Patient Sequence Number1
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