MAUDE MDR 9813349

MDR report key
9813349
Report number
9610612-2020-00013
Event key
0
Event type
3
Date received
2020-03-10
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS KERSTIN ROTHWEILER
Address
PO BOX 40 TUTTLINGEN, 78501 GM
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HI-LINE XS ANGLED HANDPIECE IIHIGHSPEED POWER SYSTEMSAESCULAP AGHBBGB757RGB757R4505683462Y R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-100

Event Narratives#

N

Patient 1

ASSOCIATED MEDWATCH-REPORTS: 9610612-2020-00014 ((B)(4) GD675). MANUFACTURING SITE EVALUATION: WE RECEIVED A COMPLAINT ABOUT A GB757R - HI-LINE XS ANGLED HANDPIECE II AND A GD675 - MICROSPEED UNI XS HIGHSPEED MOTOR. WE DID RECEIVE THE DEVICES IN DECONTAMINATED CONDITION FOR INVESTIGATION. INVESTIGATION: OPTICALLY, THE DEVICES ARE IN A USED CONDITION. THE INVESTIGATION HAS BEEN CARRIED-OUT BY THE AESCULAP TECHNICAL SERVICE (ATS): THE HANDPIECE WAS DISTRIBUTED IN APRIL 2014 AND SHOWS A MAINTENANCE DUE DATE OF 2015- 06. HOWEVER, REPAIRS CAN BE FOUND IN THE DATABASE WHICH WERE EXECUTED AT B.BRAUN SHEFFIELD. ACCORDING TO THE DATABASE, THE LAST REPAIR TOOK PLACE IN NOVEMBER 2019. THE FUNCTIONAL CHECK REVEALED THAT IT IS NOT POSSIBLE TO CLAMP A TOOL IN THE HANDPIECE. HOWEVER, A RUNNING TEST WITHOUT A TOOL COULD BE EXECUTED. THE HANDPIECE BECAME HOT WITHIN A MINUTE (41 DEGREE). AFTER THE DISASSEMBLY OF THE SHAFT, THE BALL BEARINGS COULD BE CHECKED. STAINING AND CORROSION WAS DETECTED AT THE BALL BEARINGS. THESE RESIDUES LED TO A BLOCKING OF THE BALL BEARINGS AND THEREFORE MOST LIKELY TO THE MENTIONED HEATING AND THE IMPROPER TOOL CLAMPING. FURTHERMORE, RESIDUES CAN ALSO BE FOUND INSIDE THE TOOL HOLDER. BATCH HISTORY REVIEW: THE TRACEABILITY OF ARTICLES WITH BATCH MANAGEMENT REQUIREMENT IS GUARANTEED BY THE PRODUCTION ORDER NUMBER, WHICH CAN BE TRACED OVER THE PRODUCTION PERIOD AND THE CORRESPONDING CUSTOMER (BACKTRACK). IN ADDITION, THE RAW MATERIALS, SEMI-FINISHED PARTS, ETC. USED FOR THE ORDER ARE DOCUMENTED IN THE MANUFACTURING HISTORY RECORDS (DHR - DEVICE HISTORY RECORDS). THIS ENSURES THE TRACEABILITY OF THE INTERNAL SUPPLY AND PRODUCTION CHAIN. INTERNAL TRACEABILITY IS THUS GUARANTEED. CONCLUSION AND ROOT CAUSE: THE FAILURE IS MOST PROBABLY REPROCESSING RELATED. RATIONALE: REFER TO INVESTIGATION. CORRECTIVE ACTION: ACCORDING TO SOP (B)(4) A CAPA IS NOT NECESSARY.

D

Patient 1

IT WAS REPORTED THAT THERE WAS AN ISSUE WITH A HI-LINE XS ANGLED HANDPIECE. ACCORDING TO THE REPORTER, THE DRILL WAS NOT TURNING AND THE HANDPIECE WAS OVERHEATING. THE CUSTOMER CONFIRMED THAT ANOTHER TRAY WAS OPENED TO COMPLETE THE PROCEDURE. THERE WAS NO PATIENT HARM. ADDITIONAL INFORMATION WAS NOT PROVIDED NOR AVAILABLE. ADDITIONAL PATIENT INFORMATION IS NOT AVAILABLE. THE MALFUNCTION IS FILED UNDER AAG REFERENCE (B)(4). ASSOCIATED MEDWATCH-REPORTS: 9610612-2020-00014 ((B)(4) GD675).