It was reported that during an acl reconstruction operation in or, trunav drill actuator failed proximally when the surgeon tried to actuate the cutter.This failure occurred due to buildup of bone debris around the cutter during antegrade drilling of femoral tunnel.The surgeon tried to clear the bone debris being stocked around the cutter by flossing action using trunav guidewire, but it did not work and consequently the actuator failed to deploy the cutter.A second trunav drill was used to finish retrograde drilling and the operation was completed successfully.No delay or patient injuries were reported.
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Further review of this event performed on (b)(6) 2019, has identified that the complaint description mentions a situation where the driller was clogged with bone debris and procedure was completed successfully with a backup device with no patient harm.This event was re-evaluated for mdr reporting.The reassessment determined that, based on the event information, the issue does not meet the threshold for reporting and is a non-reportable event.This report was made based upon information which smith & nephew had not been able to investigate or verify prior to the required reporting date.
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