inforMED
MalfunctionBWN

PIVOTPOST REPLACEMENT

Received Oct 11, 2023 · Event occurred Sep 13, 2023

Report 1220246-2023-08140 · MDR key 17914730

Device

Generic name

Operating Room Table Access

Manufacturer

Arthrex, Inc.

Catalog number

AR-1560-02

Lot number

012144

Product problems

  • Break
  • Break

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

(B)(4).

Additional Manufacturer Narrative

COMPLAINT ALLEGATION IS CONFIRMED. ONE UNPACKAGED AR-1560-02 SERIAL/BATCH NUMBER (B)(6) WAS RECEIVED FOR INVESTIGATION. FUNCTIONAL TESTING WAS NOT CONDUCTED DUE TO THE DAMAGE TO THE INSTRUMENT'S ROTATION LEVEL BEING BROKEN OFF. VISUAL EVALUATION NOTED THAT THE ROTATION LEVER WAS BROKEN OFF. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE/MISHANDLING DUE TO THE DAMAGE TO THE DEVICE. REFER TO INVESTIGATION PHOTOS.

Additional Manufacturer Narrative

**UDI RELATED DATA QUALITY UPDATES ONLY** UPDATED INFORMATION IN D4 FOR CORRECT UDI (B)(4).

Additional Manufacturer Narrative

COMPLAINT CONFIRMED. ONE UNPACKAGED AR-1560-02 SERIAL/BATCH NUMBER (B)(6) WAS RECEIVED FOR INVESTIGATION. FUNCTIONAL TESTING WAS NOT CONDUCTED DUE TO THE DAMAGE TO THE INSTRUMENT'S ROTATION LEVEL WAS BROKEN OFF. VISUAL EVALUATION NOTED THAT THE ROTATION LEVER WAS BROKEN OFF. THE REPORTED CONDITION IS MOST LIKELY CAUSED BY OVERSTRESSING A DEVICE THAT IS DAMAGED NATURALLY AND INEVITABLY AS A RESULT OF NORMAL WEAR OR AGING.

Description of Event or Problem

ON 9/13/2023, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS-06030096 THAT AN AR-1560-02 PIVOTPOST REPLACEMENT SNAPPED OFF DURING A CASE. THE CLIP BROKE OFF TO WHERE IT IS UNUSABLE, AS IT WILL NOT PIVOT AT ALL. THIS WAS DISCOVERED DURING AN UNSPECIFIED PROCEDURE, WITH NO PATIENT HARM.