MAUDE Adverse Event Report: CONMED LARGO 2.0MM STERLING CUDA, MICROBLADE, QTY 6; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

Model Number C9950

Device Problem Material Fragmentation (1261)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 11/03/2022

Event Type  malfunction  

Manufacturer Narrative

The reported device is being returned to conmed for evaluation.A supplemental and final report will be filed following the completion of the device evaluation and complaint investigation.This issue will continue to be monitored through the complaint system to assure patient safety.Device not yet received.

Event Description

The sales representative reported on behalf of the customer that the c9950, 2.0mm sterling cuda, microblade, qty 6, was being used during a hand arthroscopy procedure on (b)(6) 2022 when it was reported, ¿the tip broke off under the wrist arthroscopy, where we shave in soft material.Had to remove it inside the joint with pliers¿.There was no report of injury, medical intervention, or hospitalization for the patient or user.The procedure was completed as planned using an alternate c9950 device.Further assessment questions found that there was a 10-minute delay due to the event and that the status of the patient is ¿normal¿.This report is being raised on the basis of malfunction with potential for injury upon reoccurrence.

Manufacturer Narrative

The returned used device, item c9950 was inspected per print, and found inner tube shell broken off from the welded shaft.Broken shell found attached in the outer blade.This is technique dependent device and the most likely cause of this suspected failure is user related.Suspect, excessive force, lateral/side loading, and/or stalling of the device, was used that cause the bur inner tube to brake off.The manufacturing documents from the device history record have been reviewed with special attention to the manufacturing and inspection of the product.The product released for distribution was found to have met all specifications prior to shipment.This is the only complaint for this lot number and failure mode within the past two years.A two-year review of complaint history revealed there has been a total of 20 complaints, regarding 25 devices, for this device family and failure mode.During this same time frame (b)(4) devices have been manufactured and shipped worldwide.Should all the complaint devices have been found confirmed for this reported failure, the rate of failure would be (b)(4).Per the instructions for use, the user is advised to not apply excessive loading on the shaver blade or bur.Cutting performance is not increased with force.Excessive force or using shaver blades or burs as a lever can cause damage to the device including permanent deformation, shedding of metal (wear), motor seizure, and overheating.This issue will continue to be monitored through the complaint system to assure patient safety.

Event Description

The sales representative reported on behalf of the customer that the c9950, 2.0mm sterling cuda, microblade, qty 6, was being used during a hand arthroscopy procedure on (b)(6) 2022 when it was reported, ¿the tip broke off under the wrist arthroscopy, where we shave in soft material.Had to remove it inside the joint with pliers¿.There was no report of injury, medical intervention, or hospitalization for the patient or user.The procedure was completed as planned using an alternate c9950 device.Further assessment questions found that there was a 10-minute delay due to the event and that the status of the patient is ¿normal¿.This report is being raised on the basis of malfunction with potential for injury upon reoccurrence.

• Brand Name: 2.0MM STERLING CUDA, MICROBLADE, QTY 6
• Type of Device: BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL
• Manufacturer (Section D): CONMED LARGO; 11311 concept blvd; largo FL 33773
• Manufacturer (Section G): CONMED LARGO; 11311 concept blvd; largo FL 33773
• Manufacturer Contact: john berga ; 11311 concept blvd; largo, FL 33773 ; 7273995358
• MDR Report Key: 15821697
• MDR Text Key: 307977646
• Report Number: 1017294-2022-00109
• Device Sequence Number: 1
• Product Code: GFA
• UDI-Device Identifier: 10845854017548
• UDI-Public: (01)10845854017548(17)260415(10)1160130
• Combination Product (y/n): N
• Reporter Country Code: DA
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Health Professional,User Facility,Company Representative
• Reporter Occupation: Nurse
• Type of Report: Initial,Followup
• Report Date: 01/19/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 11/17/2022
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: C9950
• Device Catalogue Number: C9950
• Device Lot Number: 1160130
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 01/19/2023
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 04/16/2021
• Is the Device Single Use?: Yes
• Patient Sequence Number: 1
• Patient Age: 45 YR
• Patient Sex: Male
• Patient Weight: 95 KG
• Patient Ethnicity: Non Hispanic