|
The reported event could be confirmed, since the product was returned for evaluation and matches the alleged failure mode.The device inspection revealed, a visual examination of the returned device shows clear breakage, primarily concentrated at the tip of the driver.The damage pattern strongly suggests that the hexagonal screwdriver was repeatedly exposed to significant torque forces applied at an off axis angle.In addition, multiple corrosion spots are evident within the material, likely penetrating through micro cracks.This is consistent with longterm use of the device, involving repeated cleaning and sterilization cycles.The fracture has resulted in multiple broken pieces, indicating a brittle failure mode.Moreover, a hardness test values indicate the material being within the limit with the accordance range.A review of the device history for the reported lot did not indicate any abnormalities.No corrective actions are required at this time.A review of the labeling did not indicate any abnormalities.No indications of material, manufacturing or design related problems were found during the investigation.Based on investigation, the root cause was attributed to a user related issue.The event was caused due to repeated application of high, off axis torque that generated localized stress concentrations at the hex interface, initiating micro cracks that propagated under cyclic loading.Over time, corrosive ingress through these cracks exacerbated by repeated cleaning and sterilization cycles.Accelerated crack growth and reduced material toughness, culminating in a brittle, multi piece fracture.If more information is provided, the case will be reassessed.
|