inforMED
MalfunctionGDG

SHARP HOOK

Received Aug 11, 2016

Report 9680938-2016-10123 · MDR key 5868069

Device

Generic name

Hook, Surgical, Gen & Plastic Surgery

Manufacturer

Synthes Tuttlingen

Catalog number

319.39

Lot number

T115586

Product problems

  • Break
  • Break

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

A PRODUCT INVESTIGATION WAS COMPLETED: ONE SHARP HOOK (PART NUMBER 319.39, LOT NUMBER T115586) WAS RECEIVED. A DEVICE HISTORY RECORD (DHR) REVIEW, VISUAL INSPECTION, DRAWING REVIEW, COMPLAINT HISTORY REVIEW, AND RISK ASSESSMENT REVIEW WERE PERFORMED AS PART OF THIS INVESTIGATION. THE COMPLAINT CONDITION IS CONFIRMED AS THE SHARP HOOK WAS RECEIVED WITH THE DISTAL TIP BROKEN. THE BREAK IS LOCATED APPROXIMATELY 135MM FROM THE PROXIMAL END OF THE DEVICE AND THE DISTAL PORTION WAS NOT RECEIVED. NEAR THE BREAK THE SHAFT SHOWS SLIGHT OFF AXIS BENDING. THE BALANCE OF THE DEVICE SHOWS WEAR CONSISTENT WITH USE AND IS IN FUNCTIONAL CONDITION. THE RECEIVED CONDITION IS INDICATIVE OF HAVING BEEN SUBJECTED TO FORCE BEYOND THE YIELD STRENGTH OF THE DEVICE. HOWEVER, THE ROOT CAUSE COULD NOT BE DEFINITIVELY DETERMINED AS THE METHOD OF USE AND MAINTENANCE AND THE CONDITIONS AT THE TIME OF THE DAMAGE ARE UNKNOWN. THE RETURNED PART WAS DETERMINED TO BE SUITABLE FOR THE INTENDED USE WHEN EMPLOYED AND MAINTAINED AS RECOMMENDED AND THE RISK ASSESSMENT WAS FOUND TO ADEQUATELY ADDRESS THE COMPLAINT CONDITION. PER THE TECHNIQUE GUIDE, THE SHARP HOOK (319.39) IS USED ACROSS VARIOUS PROCEDURES. THIS DEVICE IS INTENDED FOR SEVERAL APPLICATIONS SUCH AS REPOSITIONING FRAGMENTS, CHECKING ALIGNMENT OF FRACTURE ENDS, AND REMOVING INGROWN TISSUE FROM SCREW HEADS. A REVIEW OF THE CURRENT DESIGN DRAWING / MANUFACTURED REVISION WAS PERFORMED. DURING THE INVESTIGATION NO PRODUCT DESIGN ISSUES OR DISCREPANCIES WERE OBSERVED THAT MAY HAVE CONTRIBUTED TO THE COMPLAINT CONDITION. THE RETURNED PART WAS DETERMINED TO BE SUITABLE FOR THE INTENDED USE WHEN EMPLOYED AND MAINTAINED AS RECOMMENDED. THE RECEIVED CONDITION IS INDICATIVE OF HAVING BEEN SUBJECTED TO FORCE BEYOND THE YIELD STRENGTH OF THE DEVICE. HOWEVER, THE ROOT CAUSE COULD NOT BE DEFINITIVELY DETERMINED AS THE METHOD OF USE AND MAINTENANCE AND THE CONDITIONS AT THE TIME OF THE DAMAGE ARE UNKNOWN. DURING THE INVESTIGATION NO PRODUCT DESIGN ISSUES OR DISCREPANCIES WERE OBSERVED THAT MAY HAVE CONTRIBUTED TO THE COMPLAINT CONDITION. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Additional Manufacturer Narrative

DEVICE IS AN INSTRUMENT AND IS NOT IMPLANTED/EXPLANTED. MANUFACTURING DATE: DECEMBER 02, 2014. REVIEW OF THE DEVICE HISTORY RECORD OF (B)(4) SHOWED THAT THERE WERE NO ISSUES AT THE TIME OF MANUFACTURING OF THIS DEVICE THAT WOULD CONTRIBUTE TO THE ISSUE OUTLINED IN THIS COMPLAINT. A REVIEW OF INSPECTION RECORDS AND CERTIFICATIONS, CONFIRM THAT THE, MATERIAL, COMPONENTS AND FINAL PRODUCT MET INSPECTION RECORDS, CERTIFICATION. ALL PARTS OF THE LOT WERE CHECKED 100% FOR FEATURES AND FOR FUNCTION AT THE FINAL INSPECTION. NO NON-CONFORMANCE REPORTS WERE GENERATED DURING PRODUCTION. THE DEVICE WAS RECEIVED, THE INVESTIGATION COULD NOT BE COMPLETED, AND NO CONCLUSION COULD BE DRAWN, AS PRODUCT IS ENTERING THE COMPLAINT SYSTEM. DEVICE WAS USED FOR TREATMENT, NOT DIAGNOSIS. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL MEDWATCH, A FOLLOW-UP MEDWATCH WILL BE FILED AS APPROPRIATE.

Description of Event or Problem

IT WAS REPORTED THAT DURING A ROUTINE INSPECTION IT WAS DISCOVERED THAT A DENTAL PICK TIP WAS BROKEN. THERE WAS NO PATIENT OR CASE INVOLVEMENT. THIS IS REPORT 1 OF 1 FOR COM-(B)(4).