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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SYMMETRY SURGICAL, INC SYMMETRY SHARP KERRISON KERRISON RONGEUR

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SYMMETRY SURGICAL, INC SYMMETRY SHARP KERRISON KERRISON RONGEUR Back to Search Results
Catalog Number 53-1675
Device Problem Break (1069)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 10/15/2018
Event Type  malfunction  
Manufacturer Narrative
We are still attempting to obtain additional information and the product from the customer. This is an initial report and a follow-up report will be submitted once the additional information is obtained.
 
Event Description
The locking system broke during a procedure.
 
Manufacturer Narrative
Updated the initial reported to the end user reporter at the hospital. The device was returned on (b)(6) 2018 for evaluation. Upon return, it was confirmed that the bottom locking mechanism had broken on the device. The (b)(4) consists of two devices in one to include the reusable handle (device identified in report) and tips (single use and reusable versions available) assembled to complete the usable device. The detachable tips were specifically designed as removable to support use and removal once dull which is common for devices with a cutting feature. Unfortunately, the tips were not returned with the handles to assess this condition. Through testing, symmetry could identify that when additional forces are applied to the locking mechanism of the handle by excessively squeezing and twisting the handle, during the use of a dull blade or while cutting a large or dense bone, the bottom lock will yield. The results of the testing did not break the locking mechanism; however, it did show stress in the same location. This type of use is not recommended as it is defined as a warning in the ifu. Based on the results of the testing, symmetry chose to further improve the safety of the product by increasing the thickness of the bottom locking mechanism that experiences all the stress. This will be a running change to the device design. The same cautions in the ifu apply to the new design as well. This report can be seen as the final report. If additional information is later obtained that alleges any other patient involvement or additional corrective actions a second follow-up will be submitted.
 
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Brand NameSYMMETRY SHARP KERRISON
Type of DeviceKERRISON RONGEUR
Manufacturer (Section D)
SYMMETRY SURGICAL, INC
3034 owen drive
antioch TN 37013
Manufacturer (Section G)
SYMMETRY SURGICAL, INC
3034 owen drive
antioch TN 37013
Manufacturer Contact
brandi meath
3034 owen dr
antioch, TN 37013
6159645560
MDR Report Key8002541
MDR Text Key124975299
Report Number3007208013-2018-00024
Device Sequence Number1
Product Code HAE
Combination Product (y/n)N
Reporter Country CodeBE
PMA/PMN Number
K130541
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 12/28/2018
1 Device was Involved in the Event
0 Patients were Involved in the Event:
Date FDA Received10/24/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator
Device Catalogue Number53-1675
Device Lot Number1600651
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/21/2018
Is the Reporter a Health Professional?
Was the Report Sent to FDA?
Event Location No Information
Date Manufacturer Received10/15/2018
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No Answer Provided
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse

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