| Catalog Number |
72290038 |
| Medical Device Problem Code |
Degraded (1153)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
06/03/2025
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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H11: internal complaint reference: (b)(4).H3, h6: this complaint was opened by smith+nephew to document a product problem associated with a smith+nephew device.The reported problem relates to known inherent device and/or procedural risks that are appropriately documented in our risk files.Smith+nephew will continue to monitor trends in accordance with our post-market surveillance process and take necessary action as required if anticipated severity and/or occurrence rates are exceeded.Smith+nephew has no reason to suspect that the product failed to meet any specifications at the time of manufacture.Based on our review of all currently available information, we are unable to identify a definitive root cause.However, as the use of our product cannot be excluded as a potential cause or contributory factor to the reported issue, we are conservatively submitting this report in accordance with applicable regulations.If additional investigative findings or information becomes available that alters the conclusions of this report, a follow-up report will be submitted as required.
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Event or Problem Description
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It was reported that during a shoulder arthroscopy, the black coating on the shaft of the werewolf flow 90 coblation wand started to peel off.The procedure was completed with 5 minutes delay using the same device.No patient injury or other complications were reported.
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Additional Manufacturer Narrative
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H11: h2: corrected data on h5.H3, h6: the reported device was received for evaluation.Visual inspection observed the returned instrument shows no manufacturing abnormalities.Product was out of the original packaging.No packaging returned.The tip is worn from use.The shaft covering is damaged and there are scratch marks and dents on the covering and the metal shaft.The wire inside the covering has been exposed and pulled back.The shaft covering is pulled back and ripped, exposing the metal shaft.Functional evaluation revealed the unit was not functionally tested due to the exposed wire on the metal shaft.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specifications upon release for distribution.A complaint history review found similar reported events.A risk management review found that the reported failure and/or harm was documented appropriately, and there were no indications to suggest the anticipated risk is not adequate.A definitive root cause for the reported issue could not be determined.Factors that could have contributed to the failure include procedural variance, or deviations from established protocols, increasing risks and leading to unintended consequences.Other factors include (1) hitting the device shaft against a hard surface.(2) using the device as a lever to enlarge surgical site.(3) mechanical displacement of tissue through applied force.(4) activating the device above recommended settings for prolonged periods of time.Based on this investigation, the need for corrective action is not indicated.
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Search Alerts/Recalls
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