Aspen surgical received a report indicating that blade broke during a procedure.No injury or death was reported.Item was in use at the end user.No sample or photographic evidence was available for evaluation.A manufacturing lot number was provided for review.Information from the end user noted that blade tip broke off scalpel while in use for skin incision.No surgical intervention was required to retrieve the broken piece and post operative x-ray confirmed that the broken tip was not in the patient.No adverse effect was reported for the patient.Device history record was reviewed and no non-conformance was issued that could be related to reported event.The most probable root cause could have been during the stamping or grinding process.Packaging process has established controls to mitigate broken or cracked blade condition, including a "medio" blade sensor that inspects 100% of packed pouches liner level prior to aluminum foil packaging.Also, excessive force applied by end user during surgery process could also cause blade condition.The following controls are in-place to mitigate "broken blade" condition at aspen surgical las piedras site: heat treatment in-process at the beginning and end of each lot are inspected for dimension integrity using a pin gauge, flatness gauge and perforation length gauge, ductility test, and hardness test.Heat treatment quality inspections at the beginning and end of each lot are inspected for dimension integrity using a pin gauge, flatness gauge and perforation length gauge, ductility test, and hardness test.Based on this information, no additional actions required.Device not returned.
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