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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. 600 MM BAR; PIN, FIXATION, THREADED

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SMITH & NEPHEW, INC. 600 MM BAR; PIN, FIXATION, THREADED Back to Search Results
Model Number 71062600
Device Problem Delivered as Unsterile Product (1421)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/25/2021
Event Type  malfunction  
Manufacturer Narrative
Internal complaint reference number: (b)(4).
 
Event Description
It was reported that the 600 mm bar was found not sterile.It is unknown when this issue was discovered and if there was any delay or a back up was available if needed.No injuries to patient reported at this time.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
 
Manufacturer Narrative
The associated device, used in treatment, was returned and evaluated.A visual inspection of the returned device confirmed the stated failure mode.The device would be sterilized but appears to be unused and was returned without it's original packaging, the device was manufactured in 2018 and never been used.A review of complaint history did not reveal additional complaints for the listed batch.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 do not have reason to suspect that the product failed to meet any product specifications at the time of manufacture.This device is a reusable instrument that can be exposed to numerous surgeries.Some potential probable causes for this event could include packaging damage or a user error, of the reported event.We recommend that all reusable instruments be routinely inspected for wear and damage and replaced as necessary.Based on this investigation, the need for corrective action is not indicated.Should additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.We consider this investigation closed.
 
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Brand Name
600 MM BAR
Type of Device
PIN, FIXATION, THREADED
Manufacturer (Section D)
SMITH & NEPHEW, INC.
1450 brooks rd.
memphis TN 38116
MDR Report Key11326701
MDR Text Key231977897
Report Number1020279-2021-01327
Device Sequence Number1
Product Code JDW
UDI-Device Identifier03596010486745
UDI-Public03596010486745
Combination Product (y/n)N
PMA/PMN Number
K994143
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,user f
Type of Report Initial,Followup
Report Date 06/23/2021
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 Number71062600
Device Catalogue Number71062600
Device Lot Number18DM22279
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/18/2021
Initial Date Manufacturer Received 01/25/2021
Initial Date FDA Received02/15/2021
Supplement Dates Manufacturer Received06/18/2021
Supplement Dates FDA Received06/23/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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