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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. EVOS SMALL T8 FIXED HANDLE LINEAR DRIVER; SCREWDRIVER

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SMITH & NEPHEW, INC. EVOS SMALL T8 FIXED HANDLE LINEAR DRIVER; SCREWDRIVER Back to Search Results
Model Number 71175077
Device Problem Degraded (1153)
Patient Problem No Patient Involvement (2645)
Event Date 06/12/2020
Event Type  malfunction  
Event Description
It was reported that before surgery while getting ready for the case the screw driver was found to be stripped.It is unknown if there was a delay o how the procedure was finished.No injuries reported at this time.
 
Manufacturer Narrative
The device, intended use in treatment, was returned for evaluation.A visual inspection confirmed the tip is damaged on the evos small t8 fixed handle linear driver, which would cause the device not to function as intended.The device shows significant signs of wear/usage.A review of the manufacturing records did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.At this time, we have no reason to suspect that the products failed to meet any product specifications at the time of manufacture.A complaint history review found related failures; this failure mode will be monitored for future complaints for any necessary corrective actions.Damage from prolonged use, misuse or rough handling are likely probable causes of the reported event.We recommend that all reusable instruments be routinely inspected for wear and damage and replaced as necessary.This is a reusable instrument that can be exposed to numerous surgeries; damage from repeated use can occur.
 
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Brand Name
EVOS SMALL T8 FIXED HANDLE LINEAR DRIVER
Type of Device
SCREWDRIVER
Manufacturer (Section D)
SMITH & NEPHEW, INC.
1450 brooks rd.
memphis TN 38116
MDR Report Key10380674
MDR Text Key202073685
Report Number1020279-2020-03783
Device Sequence Number1
Product Code HXX
UDI-Device Identifier00885556636077
UDI-Public00885556636077
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative
Type of Report Initial,Followup
Report Date 08/25/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number71175077
Device Catalogue Number71175077
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/03/2020
Initial Date Manufacturer Received 06/12/2020
Initial Date FDA Received08/07/2020
Supplement Dates Manufacturer Received08/14/2020
Supplement Dates FDA Received08/25/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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