inforMED
MalfunctionMAY

IM REAMER, MOD. TRINKLE FITTING BIXCUT Ø8,0X480MM

Received Oct 30, 2024 · Event occurred Oct 7, 2024

Report 0009610622-2024-00898 · MDR key 20566210

Device

Generic name

Prosthesis, Hip, Semi-constrained, Metal/ceramic/polymer, Cemented Or Non-porous

Manufacturer

Stryker Gmbh

Catalog number

02276080

Lot number

K16EE2F

Product problems

  • Break
  • Fracture
  • Break
  • Fracture

Patient

24 YR · Male

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

Narrative

Additional Manufacturer Narrative

ONCE THE INVESTIGATION HAS BEEN COMPLETED ANY ADDITIONAL INFORMATION WILL BE REPORTED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem

FLEXIBLE REAMER BREAKAGE. ROOT OF 6.0 AND 8.0 REAMER BROKEN DURING DISTAL REAMING.

Additional Manufacturer Narrative

THE REPORTED EVENT COULD BE CONFIRMED, SINCE THE DEVICE WAS RETURNED BROKEN, AS REPORTED. THE DEVICE INSPECTION REVEALED THE FOLLOWING: THE INSTRUMENT IS BROKEN IN TWO PARTS, BOTH PARTS HAVE BEEN RETURNED. THE BREAKAGE OCCURRED AT THE BEGINNING OF THE SHAFT. THE PORTION OF THE SHAFT CLOSE TO THE BREAKAGE IS HIGHLY TWISTED AND WORN OUT. THIS PLASTIC DEFORMATION INDICATES THE INSTRUMENT BROKE IN A DUCTILE WAY. THE FRACTURE MOST PROBABLY WAS INDUCES DUE TO AN INCREASED REPETITIVE TORSIONAL OVERLOAD, ULTIMATELY LEADING TO BREAKAGE. IT IS WORTH NOTING THAT THE REAMING TIP OF THE INSTRUMENT, ALTHOUGH HAVING SIGNS OF USE, DOES NOT SHOW ANY PARTICULAR SIGN OF DAMAGE. DIMENSIONAL INSPECTION HAS CONFIRMED THAT THE DEVICE WAS MANUFACTURED ACCORDING TO THE SPECIFICATIONS. BASED ON INVESTIGATION, THE ROOT CAUSE WAS ATTRIBUTED TO AN USER RELATED ISSUE, CAUSED BY EXCESSIVE TORSIONAL BEING APPLIED TO THE REAMER. IN ADDITION, THE PRESENCE OR NOT OF A K-WIRE IS IMPOSSIBLE TO CONFIRM. AS A REMINDER, THE ABSENCE OF A K-WIRE CAN CAUSE AN UNCONTROLLED DRIFT OF THE REAMER, WHICH COULD HELP CAUSING THE BREAKAGE. AS STATED BY THE INSTRUCTIONS FOR USE: ALWAYS PERFORM INTRAMEDULLARY REAMING OVER A K-WIRE TO PREVENT THE REAMER FROM DRIFTING UNCONTROLLABLY . A REVIEW OF THE DEVICE HISTORY FOR THE REPORTED LOT DID NOT INDICATE ANY ABNORMALITIES. NO CORRECTIVE ACTIONS ARE REQUIRED AT THIS TIME. A REVIEW OF THE LABELING DID NOT INDICATE ANY ABNORMALITIES. NO INDICATIONS OF MATERIAL, MANUFACTURING OR DESIGN RELATED PROBLEMS WERE FOUND DURING THE INVESTIGATION. IF MORE INFORMATION IS PROVIDED, THE CASE WILL BE REASSESSED.

Description of Event or Problem

FLEXIBLE REAMER BREAKAGE. ROOT OF 6.0 AND 8.0 REAMER BROKEN DURING DISTAL REAMING.