GRAFIX FEMORAL TUNNEL NOTCHER C8106

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2006-11-08 for GRAFIX FEMORAL TUNNEL NOTCHER C8106 manufactured by Conmed Linvatec.

Event Text Entries

[572766] It was reported that during use in an acl surgery, the surgeon had difficulty removing the tunnel notcher and the tip of the instrument broke off inside the pt's knee. The surgeon looked for the tip to retrieve it, and shortly after, it was found on the floor. It is believed that irrigation flushed the tip out of the joint. There was no report of injury or surgical delay.
Patient Sequence No: 1, Text Type: D, B5


[7987198] Investigation results: the instrument and broken tip were rec'd for evaluation. The customer's reported problem was verified. A material hardness check was performed on the device and found to meet specifications. The cause for the breakage was unable to be determined. A review of conmed linvatec records for this product found no other reported events for this failure mode. This product will continue to be monitored for failures.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1017294-2006-00436
MDR Report Key787672
Report Source06,07
Date Received2006-11-08
Date of Report2006-10-11
Date of Event2006-10-11
Date Mfgr Received2006-10-11
Device Manufacturer Date2006-05-01
Date Added to Maude2006-11-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactBEVERLY SCHANER
Manufacturer Street11311 CONCEPT BLVD
Manufacturer CityLARGO FL 33773
Manufacturer CountryUS
Manufacturer Postal33773
Manufacturer Phone7273995169
Manufacturer G1CONMED LINVATEC
Manufacturer Street11311 CONCEPT BLVD
Manufacturer CityLARGO FL 33773
Manufacturer CountryUS
Manufacturer Postal Code33773
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGRAFIX FEMORAL TUNNEL NOTCHER
Generic NameFEMORAL TUNNEL NOTCHER
Product CodeMZY
Date Received2006-11-08
Returned To Mfg2006-10-17
Model NumberNA
Catalog NumberC8106
Lot Number00835151
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key775437
ManufacturerCONMED LINVATEC
Manufacturer Address* LARGO FL * US
Baseline Brand NameGRAFIX FEMORAL TUNNEL NOTCHER
Baseline Generic NameFEMORAL TUNNEL NOTCHER
Baseline Model NoNA
Baseline Catalog NoC8106
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 2006-11-08

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