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Model Number 3312 |
Device Problem
Sharp Edges (4013)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 05/26/2020 |
Event Type
malfunction
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Event Description
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It was reported that the wrist probe was extremely sharp.The performing surgeon believes they are a liability to the wrist arthroscopy procedures they perform, as they can cut into and damage non-targeted tissue during their use.There was a delay of more than 30 minutes.No other complications were reported.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
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Manufacturer Narrative
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H3.Two 2.2mm probe hooks intended for use in treatment were not returned.Two complaints were opened for the same lot.Per instructions for use: care should be taken to store instrument in a sterilization container in, which it will not incur damage from handling or other instruments.Factors that may affect device performance include entanglement with other instruments or devices during sterilization causing dings or burrs.Unapproved refurbishment of instruments.Complaint history review indicated no similar allegations for the lot number reported aside from these related two.Batch review did not indicate a condition, product or procedure failure that supported the allegation.Product met specifications upon release to distribution.
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Manufacturer Narrative
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H3, h6: the reported device, used in treatment, was received for evaluation.There was a relationship found between the returned device and the reported incident.A complaint history review concluded this was a repeat issue.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specification upon release for distribution.A visual inspection of the returned device found that it was not in its original packaging.The laser markings on the device confirm the product identification information.The device is worn from use, and there are abrasions over the surface of the probe.The abrasions on the distal end of the hook probe have created a rough surface.The complaint was confirmed.Factors that could have contributed to the reported event include wear due to continued use of the device over time, rough sterilization processes, or excessive force during use.Please refer to the instructions for use for recommendations on proper use of the device and potential troubleshooting methods to prevent future reoccurrence of the reported event.
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Search Alerts/Recalls
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