MAUDE Adverse Event Report: DEPUY ORTHOPAEDICS INC US DRILL 6MM; DRILLS (BITS, SLEEVES, GUIDES) : DRILLS

Catalog Number	244726000
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	Insufficient Information (4580)
Date of Event	06/17/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that on an unknown date, the patient underwent an initial surgery performed with the implants in question at other facility.It was confirmed that the cementless stem aml-plus was fixed with cement.On (b)(6) 2009, the second surgery was performed due to the dislocation of the cup.The cup, liner and head were replace with duralock, enduron polyliner, and aml head.On (b)(6) 2025, the third surgery was performed due to the breakage of the distal stem which fixed with the cement.In the third revision surgery, a centering cone 6mm drill was used to remove the cement plug remaining in the femoral bone marrow.The plug had cement attached around it, and it broke inside the femoral bone marrow before it could be reached.The broken drill was retrieved from inside the body.The surgery was completed successfully with no surgical delay.No further information is available.This report is related to (b)(4) which reports the second surgery due to the cup dislocation and (b)(4) which reports the third surgery due to the stem breakage.This pc reports the drill breakage occurred during the third surgery.
Additional Manufacturer Narrative
Product complaint # (b)(4).This report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
Additional Manufacturer Narrative
Product complaint # (b)(4).Investigation summary: this pc is related to (b)(4) which reports the second surgery due to the cup dislocation and (b)(4) which reports the third surgery due to the stem breakage.This pc reports the drill breakage occurred during the third surgery.It was reported that on an unknown date, the patient underwent an initial surgery performed with the implants in question at other facility.It was confirmed that the cementless stem aml-plus was fixed with cement.On (b)(6) 2009, the second surgery was performed due to the dislocation of the cup.The cup, liner and head were replace with 124650000 (duralock), 12415000 (enduron polyliner), and 134567000 (aml head) reported on (b)(4).On (b)(6) 2025, the third surgery was performed due to the breakage of the distal stem which fixed with the cement reported on (b)(4).In the third revision surgery, a centering cone 6mm drill was used to remove the cement plug remaining in the femoral bone marrow.The plug had cement attached around it, and it broke inside the femoral bone marrow before it could be reached.The broken drill was retrieved from inside the body.The surgery was completed successfully with no surgical delay.No further information is available.The product was returned to j&j medtech orthopaedics for evaluation.Visual analysis of the returned device revealed that the drill 6mm was broken from the tip.Fragment was returned for evaluation.The breakage appears to be consistent with the effects of repeated use and servicing.The lifecycle requirements of the device are event related and depend on the use and inspection of the device in clinical practice.As the device can be damaged on the first or 100th use, the device must be properly inspected prior to each surgical use.Refer to the device/country specific ifu for information related to end of life, reprocessing instructions, and inspection procedures.A functional test was not performed since it was not applicable to the complaint condition.A dimensional inspection was not performed since it was not applicable to the complaint condition.The overall complaint was confirmed as the observed condition of the drill 6mm would have contributed to the complained issue.Based on the investigation findings, the potential cause is traced to end of life, and it has been determined that no corrective and/or preventative action is proposed.There is no indication that a design or manufacturing issue has caused the reported complaint condition.As part of j&j medtech orthopaedics quality process, all devices are manufactured, inspected, and released to approved specifications.Additional monitoring for any potential safety signals will be conducted through complaint trending and other post-market safety surveillance activities.Device history lot: the product investigation found no evidence suspecting an error in the manufacturing or material that would be a contributing factor in the reported allegation(s).A manufacturing records evaluation (mre) was not performed.Corrected: h3.

• Brand Name: DRILL 6MM
• Common Device Name: DRILLS (BITS, SLEEVES, GUIDES) : DRILLS
• Manufacturer (Section D): DEPUY ORTHOPAEDICS INC US; 700 orthopaedic drive; warsaw IN 46581 0988
• Manufacturer Contact: elba bello ; 700 orthopaedic dr.; warsaw, IN 46581 ; 9083863534
• MDR Report Key: 22395428
• Report Number: 1818910-2025-11277
• Device Sequence Number: 21129931
• Product Code: HTW
• UDI-Device Identifier: 10603295124818
• UDI-Public: (01)10603295124818(10)NG68978
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: EXEMPT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup

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: 244726000
• Device Lot Number: NG68978
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 07/02/2025
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 06/17/2025
• Supplement Date Received by Manufacturer: 07/14/2025
• Initial Report FDA Received Date: 07/03/2025
• Supplement Report FDA Received Date: 07/15/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 07/26/2021
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Sex: Unknown