inforMED
MalfunctionHWQ

MEDLINE RENEWAL REPROCESSED SCORPION NEEDLE

Received Nov 15, 2016 · Event occurred Oct 13, 2016

Report 3032391-2016-00042 · MDR key 6102890

Device

Generic name

Suture Passer

Manufacturer

Medline Renewal

Model number

AR-13991N

Lot number

312381

Product problems

  • Material Fragmentation
  • Material Fragmentation

Patient

44 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Additional Manufacturer Narrative

THE DEVICE IN QUESTION WAS RETURNED TO MEDLINE RENEWAL FOR EVALUATION. UPON RECEIPT, MEDLINE RENEWAL CONFIRMED THE DEVICE HAD BEEN REPROCESSED. OUR EVALUATION CONFIRMED THE REPORT, HOWEVER THE TIP WAS NOT RETURNED FOR EVALUATION. OUR INVESTIGATION INCLUDED BOTH AN INSPECTION OF THE RETURNED DEVICE, AND A REVIEW OF THE DEVICE HISTORY RECORD (DHR). WE RECONFIRMED THAT ALL PROCESSES WERE CONDUCTED AS REQUIRED, AND THAT THE DEVICE MET INSPECTION AND REQUIREMENTS PRIOR TO PACKAGING AND RELEASE. UNFORTUNATELY, THE ROOT CAUSE OF THE DEVICE FAILURE IS UNKNOWN AT THIS TIME. PER THE DEVICE INSTRUCTIONS FOR USE (IFU), THE USE OF EXCESSIVE FORCE TO PASS THE NEEDLE THROUGH FIBROUS/CALCIFIC TISSUE, OR STRIKING BONE CAN CAUSE NEEDLE BREAKAGE AND PATIENT INJURY. THIS CAN BE AVOIDED BY REPOSITIONING THE NEEDLE PASS THROUGH A DIFFERENT AREA. THERE HAS BEEN NO REPORT OF ADVERSE PATIENT CONSEQUENCE AS A RESULT OF THE INCIDENT. HOWEVER, DUE TO THE SURGICAL INTERVENTION TO RETRIEVE THE TIP WHICH CAUSED A DELAY IN THE PROCEDURE, MEDLINE RENEWAL IS FILING THIS MEDWATCH REPORT.

Description of Event or Problem

MEDLINE RENEWAL RECEIVED A REPORT INDICATING THAT THE TIP OF A REPROCESSED ARTHREX SUREFIRE SCORPION NEEDLE, MODEL AR-13991N, DETACHED DURING USE. THE TIP WAS RETRIEVED BY THE SURGEON. ANOTHER DEVICE WAS READILY AVAILABLE TO COMPLETE THE PROCEDURE; THEREFORE NO PATIENT HARM OR ADDITIONAL MEDICAL INTERVENTION WAS REPORTED AS A RESULT OF THE INCIDENT.