MAUDE Adverse Event Report: SMITH & NEPHEW, INC. HELICUT TM BLADE (6/BOX); SAW, POWERED, AND ACCESSORIES

Catalog Number 7205727

Device Problem Scratched Material (3020)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 05/03/2019

Event Type  malfunction  

Event Description

It was reported that during an ankle arthroscopy the doctor asked for the helicut blade.It was notice that metallic parts were observed when the device started to be used in the osteochondral lesion that the patient presented in the talus.No patient injuries reported.Unknown if there was a delay, if backup was available and how the issue was resolved.No patient injury or other complications were reported.

Manufacturer Narrative

Information updated as per information received.

Event Description

It was reported that during an ankle arthroscopy the doctor asked for the helicut blade.It was notice that metallic parts were observed when the device started to be used in the osteochondral lesion that the patient presented in the talus.No patient injuries reported.No delay was reported.The procedure was finished with the same device.

Event Description

It was reported that during an ankle arthroscopy the doctor asked for the helicut blade.It was notice that metallic parts were observed when the device started to be used in the osteochondral lesion that the patient presented in the talus.No patient injuries reported.No delay was reported.The procedure was finished with the same device.

Manufacturer Narrative

One single 7205727 helicut tm blade used for treatment, was returned for evaluation.This product is sold as a shelf carton containing a qty of six blades.They are not to be sold individually.There was a relationship between the reported event and the device.The complaint stated: ¿metallic parts were observed.¿ light scratches on spiral edges and rotational contact were noticed inside the outer blade lumen.The blade spins relatively freely at this time, but does produce a light squeak where the spiral is now making contact with the outer blade.The cause of the surface damage or dings were found to be aligned with inadvertent contact with hard surfaces such as the instrument itself and bone.Bone chip excision may build up from inadequate irrigation.Irrigation may require adjustment and is controlled by the suction pump.Shedding has been found to be consistent with surface damage created from inadvertent excess side loading pressure applied to the device.Per instructions for use precautions: ¿excessive ¿side-loading¿ on the blade during use does not improve cutting performance and in extreme cases may result in wear and degradation of the inner assembly.Irreversible damage to blades or burrs will result if they are run without the flow of irrigation (dry).This blade has a maximum rotational speed of 5000rpm vs.Other popular blade products that have speeds of up to 10,000rpm.¿ root cause related to the manufacture of the device was not confirmed.Product met specifications upon release to distribution.Complaint history review found no similar reports for this part/lot number.¿.

• Brand Name: HELICUT TM BLADE (6/BOX)
• Type of Device: SAW, POWERED, AND ACCESSORIES
• Manufacturer (Section D): SMITH & NEPHEW, INC.; 130 forbes boulevard; mansfield MA 02048
• MDR Report Key: 8608975
• MDR Text Key: 145104266
• Report Number: 1219602-2019-00550
• Device Sequence Number: 1
• Product Code: HAB
• UDI-Device Identifier: 03596010404664
• UDI-Public: 03596010404664
• Combination Product (y/n): N
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,foreig
• Type of Report: Initial,Followup,Followup
• Report Date: 07/16/2019

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
• Device Operator: Health Professional
• Device Expiration Date: 07/16/2023
• Device Catalogue Number: 7205727
• Device Lot Number: 50747340
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 06/20/2019
• Initial Date Manufacturer Received: 05/03/2019
• Initial Date FDA Received: 05/14/2019
• Supplement Dates Manufacturer Received: 06/12/2019; 07/15/2019
• Supplement Dates FDA Received: 06/13/2019; 07/16/2019
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Age: 63 YR
• Patient Weight: 80