1.8MM QFIX RESUABLE CURVED DRILLGUIDE 12 72290119

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-02-28 for 1.8MM QFIX RESUABLE CURVED DRILLGUIDE 12 72290119 manufactured by Arthrocare Corp..

Event Text Entries

[101235223]
Patient Sequence No: 1, Text Type: N, H10


[101235224] It was reported that q-fix drill guide slot was wider than the diameter of the drill bit, causing that surgeon drilled a hole in his finger. No unit to return.
Patient Sequence No: 1, Text Type: D, B5


[114100761] Complained device was not returned for evaluation, consequently, a relationship between the product and reported incident cannot be established and complaint cannot be confirmed. From the information provided in the complaint, the q-fix drill guide handle slot was wider than the diameter of the drill bit, causing that surgeon drilled a hole in his finger. An exact root cause cannot be determined with confidence; however, a factor that could have contributed to the reported event includes: misalignment between drill guide and drill while inserting the drill into the drill guide. Incorrect alignment between the 2 instruments can result in user injury. Design changes have been implemented to the drill guide. Changes to the drill guide handle drain slots were implemented to address the reported complaint. The drain slots have been replaced with a drilled hole on both sides to prevent the drill from poking thru the drill slot. The reported drill guide was manufactured prior the implementing the changes. There were no indications that would suggest that the device did not meet product specifications upon release into distribution. It was reported that the surgeon drilled a hole in his finger. The only treatment indicated is direct pressure and dressing to stop the bleeding. There is no report of the current condition of the surgeon's finger, and the device was disposed of during the surgery. It was also indicated that there was no complication with the patient. Therefore, based on the lack of clinical information, a clinical assessment is unable to be performed.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number3006524618-2018-00098
MDR Report Key7304657
Date Received2018-02-28
Date of Report2018-04-16
Date of Event2018-01-29
Date Mfgr Received2018-01-29
Device Manufacturer Date2017-11-21
Date Added to Maude2018-02-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJIM GONZALES
Manufacturer Street7000 WEST WILLIAM CANNON DRIVE
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal78735
Manufacturer G1ARTHROCARE CORP.
Manufacturer Street7000 W. WILLIAM CANNON
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal Code78735
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand Name1.8MM QFIX RESUABLE CURVED DRILLGUIDE 12
Generic NameTROUSERS, ANTI-SHOCK
Product CodeLHX
Date Received2018-02-28
Model Number72290119
Catalog Number72290119
Lot Number980445
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerARTHROCARE CORP.
Manufacturer Address7000 W. WILLIAM CANNON AUSTIN TX 78735 US 78735


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-02-28

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