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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: TORNIER INC TORNIER PERFORM FX IMPACTOR HANDLE

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TORNIER INC TORNIER PERFORM FX IMPACTOR HANDLE Back to Search Results
Catalog Number IFX818
Medical Device Problem Codes Corroded (1131); Material Discolored (1170); Residue After Decontamination (2325); Failure to Clean Adequately (4048)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/08/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Additional information has been requested and if received, will be provided in the supplemental report.
 
Event or Problem Description
A facility reported to us that our consignment ifx818 had been sterilized with bio burden, and they are now unable to fully clean the cannulated instrument.
 
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Brand Name
TORNIER PERFORM FX IMPACTOR HANDLE
Common Device Name
IMPACTOR
Manufacturer (Section D)
TORNIER INC
10801 nesbitt avenue s
bloomington MN 55437
Manufacturer (Section G)
Tornier Inc
10801 nesbitt avenue s
bloomington MN 55437
Manufacturer Contact
dannielle stap
325 corporate drive
mahwah, NJ 07430
+1(201)831-5000
MDR Report Key25106905
Report Number0001649390-2026-00406
Device Sequence Number16139747
Product Code HWA
UDI-Device Identifier00846832086955
UDI-Public(01)00846832086955(11)221115(10)22A938
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Company Representative
Type of Report Initial,Followup
Report Date (Section B) 09/22/2026
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 NumberIFX818
Device Lot Number22A938
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer06/19/2026
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 04/08/2026
Supplement Date Received by Manufacturer08/26/2026
Initial Report FDA Received Date05/06/2026
Supplement Report FDA Received Date09/22/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/15/2022
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 Initial
Patient Sequence Number1
Patient SexUnknown
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