inforMED
MalfunctionJXH

MDLR RVS RMR 46MM CNLTD

Received Sep 13, 2022 · Event occurred Aug 17, 2022

Report 1038671-2022-01096 · MDR key 15409929

Device

Generic name

Orthopedic Manual Surgical Instrument

Manufacturer

Exactech, Inc.

Model number

321-35-46

Catalog number

321-35-46

Lot number

133341008

Product problems

  • Break
  • Break

Patient

80 YR · Male

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

PENDING EVALUATION.

Description of Event or Problem

IT WAS REPORTED THAT WHILE REAMING THE GLENOID, IT FRACTURED OFF THE SQUARE PIECE THAT ATTACHES TO THE TRI DRIVE. REP BELIEVES THE TECH DID NOT FULLY SEAT THE REAMER ON THE TRI DRIVE AND WHEN HE STARTED REAMING. NOTHING WAS DAMAGED ON THE PATIENTS END. NO FRAGMENTS, PARTS OR PIECES FELL INTO THE PATIENT. IT FRACTURED OUTSIDE THE 81 Y/O MALE PATIENT AND FROM THE TRI DRIVE CONNECTION PIECE MOST DISTAL. THERE WAS NO SURGICAL DELAY/PROLONGATION. PATIENT WAS LAST KNOWN TO BE IN STABLE CONDITION FOLLOWING THE EVENT. DEVICE IS RETURNING.

Additional Manufacturer Narrative

(H3) THE BROKEN CANNULATED REAMER REPORTED MAY HAVE BEEN DUE TO INCOMPLETE SEATING OF THE REAMER ON THE TRI-DRIVER PRIOR TO USE, WHICH LED TO FRACTURING OF THE REAMER POST DURING REAMING. SECTION H11: THE FOLLOWING SECTIONS HAVE CORRECTED INFORMATION: (H6) COMPONENT CODE: 912, POST.