inforMED
MalfunctionHTT

ULTRAPOWER BUR, ROUND DIAMOND (MUSTARD), 2.0MM

Received Jan 19, 2010 · Event occurred Jan 5, 2010

Report 1017294-2010-00003 · MDR key 1584604

Device

Generic name

Instrument, Surg, Orthopedic, Pneumatic

Manufacturer

Conmed Linvatec

Catalog number

00702126200

Lot number

BBD23121

Product problems

  • Detachment Of Device Component
  • Device Damaged Prior to Receipt by User

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

OUR (B) (4) DISTRIBUTOR REPORTED THAT DURING RECEIVING AND INSPECTION OF THIS DEVICE, THEY FOUND THE BUR LOOSE FROM THE CLAMSHELL INSIDE THE STERILE PACKAGING. THERE WAS NO REPORT OF COMPROMISE TO THE STERILITY OF THE DEVICE. THERE WAS NO PATIENT INVOLVEMENT, INJURY OR SURGICAL DELAY RESULTING FROM THIS EVENT.

Additional Manufacturer Narrative

INVESTIGATION RESULTS: THIS BUR AND PACKAGING WAS RECEIVED FOR EVALUATION. A VISUAL EXAMINATION OF THE PACKAGE CONFIRMED THE REPORT OF THE BUR LOOSE FROM THE CLAMSHELL INSIDE THE STERILE PACKAGING. FURTHER INVESTIGATION FOUND SCRATCHES ON THE POUCH WHICH AFFECTED THE STERILITY OF THE DEVICE. CONMED LINVATEC INITIATED AND COMPLETED A CORRECTIVE AND PREVENTIVE ACTION TO ADDRESS THIS PROBLEM. A RETAINER COMPONENT WAS ADDED TO THE PACKAGING TO PREVENT THE BUR FROM COMING LOOSE INSIDE THE CLAMSHELL.