Aspen surgical received a report from the distributor indicating that a bard-parker blade broke while in use during a procedure.The incident occurred at the user facility.No sample and no photographic evidence was available for evaluation.A manufacturing lot number was provided for review.Bard-parker blade broke during a knee surgery.The broken blade piece was successfully retrieved.There was no injury to the patient and no additional treatment was required.A review of the device history record indicated no non-conformance's related to the reported issue.The most probable root cause could have been during the stamping or grinding process.Packaging process has established controls to mitigate broken or cracked blade condition, including a ¿medio¿ blade sensor that inspects 100% of packed pouches liner level prior to aluminum foil packaging.Also, excessive force applied by end user during surgery process could also cause blade condition.The following controls are in-place to mitigate "broken blade" condition at aspen surgical (b)(4) site: heat treatment in-process at the beginning and end of each lot are inspected for dimension integrity using a pin gauge, flatness gauge and perforation length gauge, ductility test, and hardness test.Heat treatment quality inspections at the beginning and end of each lot are inspected for dimension integrity using a pin gauge, flatness gauge and perforation length gauge, ductility test, and hardness test.Based on this information, no further action is required.Device not available.
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