RETROGRADE DRL 9.5MM 72204045

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-23 for RETROGRADE DRL 9.5MM 72204045 manufactured by Smith & Nephew, Inc..

Event Text Entries

[146226373] .
Patient Sequence No: 1, Text Type: N, H10


[146226374] It was reported that during an acl reconstruction operation in or, trunav drill actuator failed proximally when the surgeon tried to actuate the cutter. This failure occurred due to buildup of bone debris around the cutter during antegrade drilling of femoral tunnel. The surgeon tried to clear the bone debris being stocked around the cutter by flossing action using trunav guidewire, but it did not work and consequently the actuator failed to deploy the cutter. A second trunav drill was used to finish retrograde drilling and the operation was completed successfully. No delay or patient injuries were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219602-2019-00593
MDR Report Key8635726
Date Received2019-05-23
Date of Report2019-07-02
Date of Event2019-05-10
Date Mfgr Received2019-07-02
Device Manufacturer Date2019-02-25
Date Added to Maude2019-05-23
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 NameRETROGRADE DRL 9.5MM
Generic NameBIT, SURGICAL
Product CodeGFG
Date Received2019-05-23
Returned To Mfg2019-05-17
Catalog Number72204045
Lot Number4726281
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 2019-05-23

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