LUPINE DRILL GUIDE UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2007-10-01 for LUPINE DRILL GUIDE UNK manufactured by Depuy Mitek.

Event Text Entries

[717371] We have received a genric statement, "i have seen this a few times", about metal shavings in connection with the use of unnamed drill guides. There is no further information available and there were no reported patient consequences. This is all that is known.
Patient Sequence No: 1, Text Type: D, B5


[7862366] We believe that this type of event is most likely technique related, extensive lab testing has shown that under normal conditions the reported event mode could not be duplicated; however, under extreme conditions, that is when the drill guide was bent during drilling with a drill bit, this caused the drill bit to rub against inner surface of the bent drill guide causing some metal to shave off of the drill guide, the reported condition was then duplicated. This phenomena has been the subject of a long and considerable study. At this point in time, the engineering design and the quality engineering teams are in the midst of developing some design changes to subvert and or greatly reduce this type of event. Nothing is being returned as this was a vague and generalized communication of probable events. Mitek will continue to track any related complaints within this device family as a means of monitoring the extent with which this complaint is observed in the field. Outside of this at this point in time no further action is warranted.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1221934-2007-00281
MDR Report Key920600
Report Source07
Date Received2007-10-01
Date of Report2007-09-28
Report Date2007-09-28
Date Mfgr Received2007-09-28
Date Added to Maude2007-11-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA0
Event Location3
Manufacturer ContactMR. ARTHUR FRIGAULT
Manufacturer Street325 PARAMOUNT DRIVE
Manufacturer CityRAYNHAM MA 02767
Manufacturer CountryUS
Manufacturer Postal02767
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameLUPINE DRILL GUIDE
Generic NameARTHROSCOPIC INSTRUMENT
Product CodeLXI
Date Received2007-10-01
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key909166
ManufacturerDEPUY MITEK
Manufacturer Address325 PARAMOUNT DRIVE


Patients

Patient NumberTreatmentOutcomeDate
10 2007-10-01

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