inforMED
MalfunctionBWN

TRIMANO FORTIS REUSABLE LEG HOLDER

Received May 28, 2024 · Event occurred Apr 29, 2024

Report 1220246-2024-04023 · MDR key 19404571

Device

Generic name

Operating Room Table Access

Manufacturer

Arthrex, Inc.

Catalog number

AR-1747-B

Lot number

68750169

Product problems

  • Fitting Problem
  • Fitting Problem

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

ON 4/29/2024, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN AR-1747-B TRIMANO FORTIS REUSABLE LEG HOLDER WAS NOT CLICKING TOGETHER WHEN TRYING TO USE DURING A CASE. THIS WAS DISCOVERED DURING A PROCEDURE, WITH NO REPORTED PATIENT HARM.

Additional Manufacturer Narrative

THE CONTRIBUTION OF THE DEVICE TO THE REPORTED EVENT COULD NOT BE DETERMINED AS THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED FROM THE INFORMATION AVAILABLE AND WITHOUT DEVICE EVALUATION. IF THE DEVICE BECOMES AVAILABLE FOR EVALUATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

COMPLAINT ALLEGATION WAS CONFIRMED. ONE UNPACKAGED AR-1747-B BATCH 68750169 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION FINDS NO VISUAL ISSUES. FUNCTIONAL TESTING WAS NOT PERFORMED AS NO MATTING PART IS AVAILABLE AND THE DEVICE BATCH HAS BEEN LISTED ON A NONCONFORMANCE REPORT (NCR) AND CAPA. A SUPPLIER MANUFACTURING ISSUE IS THE CAUSE OF THE REPORTED FAILURE.