ENDOSCOPIC CANN DRILL BIT 6MM 013499

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-09 for ENDOSCOPIC CANN DRILL BIT 6MM 013499 manufactured by Smith & Nephew, Inc..

Event Text Entries

[141459170] .
Patient Sequence No: 1, Text Type: N, H10


[141459171] It was reported that during an acl reconstruction after a guide wire was inserted into femoral bone, the surgeon used the over drilling to make the femoral tunnel, but it was hard to drill. When the guide wire was reinserted, the guide wire broke. No back-up device available and it is unknown if there was delay in the procedure.
Patient Sequence No: 1, Text Type: D, B5


[143583171] One 013499 endoscopic cannulated 6mm drill bit was returned for evaluation. The complaint stated:? After a guide wire was inserted into femoral bone, the surgeon used the over drilling to make the femoral tunnel, but it was hard to drill. When the guide wire was reinserted, the guide wire broke.? The drill was received with a blockage inside the cannula. There is external damage; the cutting surfaces are scratched, gouged and dulled. As with any surgical instrument, careful attention should be made to assure that excessive force is not placed on the instrument. Excessive forces applied to the instrument can result in the instrument? S failure. Do not use these instruments as levers for manipulating hard tissue or bone. Excessive force should not be applied to the instrument when manipulating soft tissue, bone, or hard objects. Misuse of these instruments may result in bent distal tips or jaws; and dull or uneven cutting edges. Bowed or bent guidewires have been found to be a factor for this condition as well. Smith and nephew guide wires are intended for use with this drill bit. It is unknown whether the guidewire was a smith and nephew product. Request for information was unsuccessful. No root cause related to the manufacture of the device was confirmed. There are no other complaints for this manufacturing lot. No further investigation is warranted at this time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1219602-2019-00401
MDR Report Key8495745
Date Received2019-04-09
Date of Report2019-06-12
Date of Event2019-04-02
Date Mfgr Received2019-06-06
Date Added to Maude2019-04-09
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 Location3
Manufacturer ContactJIM GONZALES
Manufacturer Street7000 WEST WILLIAM CANNON DRIVE
Manufacturer CityAUSTIN TX 78735
Manufacturer CountryUS
Manufacturer Postal78735
Manufacturer Phone5123585706
Manufacturer G1SMITH & NEPHEW, INC.
Manufacturer Street130 FORBES BOULEVARD
Manufacturer CityMANSFIELD MA 02048
Manufacturer CountryUS
Manufacturer Postal Code02048
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameENDOSCOPIC CANN DRILL BIT 6MM
Generic NameCULDOSCOPE (AND ACCESSORIES)
Product CodeHEW
Date Received2019-04-09
Returned To Mfg2019-04-24
Catalog Number013499
Lot NumberUSW55060/1
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW, INC.
Manufacturer Address130 FORBES BOULEVARD MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
10 2019-04-09

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