inforMED
MalfunctionHWM

CS/CSL/GERADSCHAFT-PLUS EXTRACT.SCREW M6

Received Mar 25, 2025 · Event occurred Mar 4, 2025

Report 9613369-2025-00055 · MDR key 21688197

Device

Generic name

Osteotome

Catalog number

75002165

Lot number

C76022

Product problems

  • Fracture
  • Fracture

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

H3, H6: THE DEVICE, INTENDED FOR USE IN TREATMENT, WAS RETURNED FOR EVALUATION. UPON VISUAL EVALUATION, THE DISTAL THREADED TIP IS FRACTURED OFF. FURTHERMORE, SIGNS OF WEAR SUCH AS SCRATCHES AND DENTS ARE VISIBLE ON THE DEVICE. APART FROM THAT NO FURTHER DEFECTS WERE OBSERVED. A REVIEW OF THE RISK MANAGEMENT DOCUMENTATION VERIFIES THE FAILURE MODE, OCCURRENCE AND SEVERITY OF THE REPORTED ISSUE. A REVIEW OF PAST CORRECTIVE ACTIONS WAS PERFORMED. NO FURTHER ESCALATION IS REQUIRED. A REVIEW OF THE PRODUCT DOCUMENTATION DID NOT DETECT ANY DEVIATION THAT COULD HAVE CONTRIBUTED TO THE REPORTED FAILURE MODE. THE REVIEW OF HISTORICAL COMPLAINTS FOR THE ALLEGED DEVICE REVEALED NO ADDITIONAL SIMILAR COMPLAINTS REPORTED FOR THE SAME BATCH, AND FIVE ADDITIONAL SIMILAR COMPLAINTS FOR THE SAME PRODUCT NUMBER OVER THE PAST PRIOR 12 MONTHS OF THE REPORTING DATE OF THIS EVENT WITH SIMILAR A FAILURE MODE. BASED ON THE AVAILABLE INFORMATION AND THE PERFORMED INVESTIGATION, THE REPORTED FAILURE MODE COULD BE CONFIRMED. THE EXACT ROOT CAUSE OF THE REPORTED EVENT REMAINS UNDETERMINED. THIS DEVICE IS A REUSABLE INSTRUMENT THAT CAN BE EXPOSED TO NUMEROUS SURGERIES. DAMAGE FROM PROLONGED USE, MISUSE OR ROUGH HANDLING ARE LIKELY POTENTIAL FACTORS THAT COULD CONTRIBUTE TO THE REPORTED EVENT. THE NEED FOR FURTHER ACTIONS IS NOT INDICATED. THIS INVESTIGATION IS CONSIDERED AS CLOSED. SMITH AND NEPHEW WILL CONTINUE TO MONITOR THIS DEVICE FOR SIMILAR ISSUES. THE RETURNED COMPLAINT SAMPLE WILL BE SCRAPPED. ADDITIONAL INFORMATION: D9.

Additional Manufacturer Narrative

INTERNAL COMPLAINT REFERENCE: CASE: (B)(4). THIS COMPLAINT WAS OPENED BY SMITH+NEPHEW TO DOCUMENT A PRODUCT PROBLEM ASSOCIATED WITH A SMITH+NEPHEW DEVICE. THE REPORTED PROBLEM RELATES TO KNOWN INHERENT DEVICE AND/OR PROCEDURAL RISKS THAT ARE APPROPRIATELY DOCUMENTED IN OUR RISK FILES. SMITH+NEPHEW WILL CONTINUE TO MONITOR TRENDS IN ACCORDANCE WITH OUR POST-MARKET SURVEILLANCE PROCESS AND TAKE NECESSARY ACTION AS REQUIRED IF ANTICIPATED SEVERITY AND/OR OCCURRENCE RATES ARE EXCEEDED. SMITH+NEPHEW HAS NO REASON TO SUSPECT THAT THE PRODUCT FAILED TO MEET ANY SPECIFICATIONS AT THE TIME OF MANUFACTURE. BASED ON OUR REVIEW OF ALL CURRENTLY AVAILABLE INFORMATION, WE ARE UNABLE TO IDENTIFY A DEFINITIVE ROOT CAUSE. HOWEVER, AS THE USE OF OUR PRODUCT CANNOT BE EXCLUDED AS A POTENTIAL CAUSE OR CONTRIBUTORY FACTOR TO THE REPORTED ISSUE, WE ARE CONSERVATIVELY SUBMITTING THIS REPORT IN ACCORDANCE WITH APPLICABLE REGULATIONS. IF ADDITIONAL INVESTIGATIVE FINDINGS OR INFORMATION BECOMES AVAILABLE THAT ALTERS THE CONCLUSIONS OF THIS REPORT, A FOLLOW-UP REPORT WILL BE SUBMITTED AS REQUIRED.

Description of Event or Problem

IT WAS REPORTED THAT DURING A THR, THE TIP OF A CS/CSL/GERADSCHAFT-PLUS EXTRACT. SCREW M6 BROKE OFF IN THE STEM. THERE WAS NO DELAY AND THE PROCEDURE WAS FINISHED USING A SMITH & NEPHEW BACK UP.. PATIENT WAS NOT HARMED.