MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-01 for CHONDRAL PICK 40 DEG SMALL DIA 72201885 manufactured by Smith & Nephew, Inc..
[181965174]
It was reported that during surgery, when the 40 degree chondral pick was used, the device was brittle and the tip of it bent easily 90 degree. It is unknown whether there was a delay in the case. The procedure was completed with a competitor device. No patient injuries reported. All available information has been disclosed. If additional information should become available, a supplemental report will be submitted accordingly.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1219602-2020-00443 |
| MDR Report Key | 9772665 |
| Report Source | COMPANY REPRESENTATIVE,FOREIG |
| Date Received | 2020-03-01 |
| Date of Report | 2020-04-02 |
| Date of Event | 2020-01-21 |
| Date Mfgr Received | 2020-03-31 |
| Device Manufacturer Date | 2017-10-26 |
| Date Added to Maude | 2020-03-01 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | HOLLY TOPPING |
| Manufacturer Street | 7000 WEST WILLIAM CANNON DRIVE |
| Manufacturer City | AUSTIN TX 78735 |
| Manufacturer Country | US |
| Manufacturer Postal | 78735 |
| Manufacturer Phone | 5123913905 |
| Manufacturer G1 | SMITH & NEPHEW, INC. |
| Manufacturer Street | 130 FORBES BOULEVARD |
| Manufacturer City | MANSFIELD MA 02048 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 02048 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CHONDRAL PICK 40 DEG SMALL DIA |
| Generic Name | ACCESSORIES,ARTHROSCOPIC |
| Product Code | NBH |
| Date Received | 2020-03-01 |
| Returned To Mfg | 2020-02-19 |
| Model Number | 72201885 |
| Catalog Number | 72201885 |
| Lot Number | 50693308 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITH & NEPHEW, INC. |
| Manufacturer Address | 130 FORBES BOULEVARD MANSFIELD MA 02048 US 02048 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-01 |