MAUDE Adverse Event Report: ASCENSION ORTHOPEDICS, INC. GLENOID REAMER DRIVER; ORTHOPEDIC MANUAL SURGICAL INSTRUMENT

Catalog Number	SCR-0990-822
Medical Device Problem Codes	Fracture (1260); Material Twisted/Bent (2981)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/06/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
H10: internal reference number: (b)(4).H3, h6: the associated device was returned and evaluated.Visual evaluation of the glenoid reamer driver found that the prongs on the reusable instrument were bent/damaged.Additionally, part of the glenoid reamer driver tip was sheared off.Visual evaluation did note some signs of wear, including some striations on the driver.Additionally, some knicks and scratches were noted on the mating end of the driver.Potential root causes are over-torquing while under power, improper assembly, or a combination of over-torquing and improper assembly.The glenoid reamer driver is part of the glenoid reamer assembly used to core or cut out a portion of the bone to prepare the bone for implantation.The instrument is reusable and subjected to significant grinding forces during use.A review of the production order did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.A review of complaint history based on the historical data revealed a similar event for the listed batch, this failure mode will be monitored for future complaints for any necessary corrective actions.A review of the risk management file revealed this failure mode was previously identified.The anticipated risk level is still adequate.A historical review concluded that there are no prior actions related to this product and event.At this time, we have no evidence to conclude that the product failed to meet any specifications at the time of manufacture.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.
Event or Problem Description
It was reported that, during an aetos procedure, one (1) glenoid reamer driver fractured in the reamer handle, which caused glenoid ream bit bp centered to stop being "smooth" and binding.The procedure was resumed, after a non-significant delay, using a s+n back-up device.Patient was not harmed as consequence of this problem.

• Brand Name: GLENOID REAMER DRIVER
• Common Device Name: ORTHOPEDIC MANUAL SURGICAL INSTRUMENT
• Manufacturer (Section D): ASCENSION ORTHOPEDICS, INC.; 11101 metric blvd; austin TX 78758
• Manufacturer (Section G): ASCENSION ORTHOPEDICS, INC.; 11101 metric blvd; austin TX 78758
• Manufacturer Contact: holly topping ; 7000 west william cannon drive; austin, TX 78735 ; 5123913905
• MDR Report Key: 20045755
• Report Number: 3002788818-2024-00092
• Device Sequence Number: 7933428
• Product Code: LXH
• UDI-Device Identifier: 00885556812099
• UDI-Public: 885556812099
• Combination Product (Y/N): N
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 08/22/2024

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 Catalogue Number: SCR-0990-822
• Device Lot Number: 23ENC0040
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/20/2024
• Initial Report FDA Received Date: 08/23/2024
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 05/01/2023
• Is the Device Labeled for Single Use? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown