MAUDE Adverse Event Report: ARTHREX, INC. PHALANGEAL REAMER, 20MM; ORTHOPEDIC MANUAL SURG INSTR

Model Number	PHALANGEAL REAMER, 20MM
Medical Device Problem Code	Dull, Blunt (2407)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/08/2023
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
Event or Problem Description
On 8/8/2023, it was reported by a sales representative via sems the following: an ar-8944mr-18 metatarsal reamer (batch#041309) is getting dull.An ar-8944mr-20 metatarsal reamer (batch#041329) is getting dull.An ar-8944mr-22 metatarsal reamer (batch#041302) is getting dull.An ar-8944pr-18 phalangeal reamer (batch#041308) is getting dull.An ar-8944pr-20 phalangeal reamer (batch#041326) is getting dull.An ar-8944pr-22 phalangeal reamer (batch #041309) is getting dull.This was discovered during an unspecified procedure, with no adverse event or patient harm.
Event or Problem Description
The customer provided the following information: "device is ready to be shipped back.Procedure performed: great toe mtp arthrodesis.Case was completed using current instruments.".
Additional Manufacturer Narrative
Based on the information provided which may include the device (if available and returned), pictures, videos, event description, and any additional information from the field, arthrex was able to conclude a most likely cause.The most likely cause for the reported failure can be attributed to wear and tear incurred from repeated usage in the field.Manufactured date: 22-apr-2015.

• Brand Name: PHALANGEAL REAMER, 20MM
• Common Device Name: ORTHOPEDIC MANUAL SURG INSTR
• Manufacturer (Section D): ARTHREX, INC.; 1370 creekside boulevard; naples FL 34108 1945
• Manufacturer (Section G): ARTHREX, INC.; 1370 creekside boulevard; naples FL 34108 1945
• Manufacturer Contact: emily shafer ; 8009337001
• MDR Report Key: 17683666
• Report Number: 1220246-2023-07779
• Device Sequence Number: 12323953
• Product Code: LXH
• UDI-Device Identifier: 00888867053229
• UDI-Public: 00888867053229
• Combination Product (Y/N): N
• Initial Reporter State: TX
• Initial Reporter Country: US
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Distributor
• Initial Reporter Occupation: Administrator/Supervisor
• Type of Report: Initial,Followup
• Report Date (Section B): 01/16/2025

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
• Operator of Device: Health Professional
• Device Model Number: PHALANGEAL REAMER, 20MM
• Device Catalogue Number: AR-8944PR-20
• Device Lot Number: 041326
• Was Device Available for Evaluation?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/08/2023
• Supplement Date Received by Manufacturer: 12/20/2024
• Initial Report FDA Received Date: 09/05/2023
• Supplement Report FDA Received Date: 01/16/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/22/2015
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown