ACUFEX 012044Recalls & reported problems
Smith & Nephew, Inc. · DUCKLING PUNCH BASKET STRAIGHT LOOP HANDLE · Class 1
Data updated Oct 13, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 13
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 13 adverse event reports that list this exact device (DI 03596010023964), received between Nov 1, 2018 and Mar 18, 2025 — classified as 1 injury, 12 malfunctions.
The most frequently reported specific device problem is “Break” (8 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Break8
- Material Separation2
- Component Missing1
- Failure to Align1
- Loss of Power1
- Malposition of Device1
- Material Fragmentation1
- Noise, Audible1
Patient problems
- No Clinical Signs, Symptoms or Conditions7
- No Known Impact Or Consequence To Patient4
- Device Embedded In Tissue or Plaque1
- Foreign Body In Patient1
- No Patient Involvement1
Recent adverse event reports
The 13 most recent of 13 reports, in the reporter's own words as published by the FDA.
MalfunctionMar 18, 2025Break; Break
IT WAS REPORTED THAT DURING AN ARTHROSCOPIC PROCEDURE FOR A BIOABSORBABLE INSTABILITY SHOULDER, THE BASKET PUNCH FORCEPS BROKE OFF INSIDE THE PATIENT'S JOINT. THE SURGEON REMOVED THE TWO FRAGMENTS FROM INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITHOUT SURGICAL DELAY, BUT IT IS UNKNOWN IF THERE WAS A BACK-UP DEVICE AVAILABLE. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21634475 ↗MalfunctionJan 30, 2024Break; Break
IT WAS REPORTED THAT DURING ACL PROCEDURE, THE BASKET PUNCH´S CLAMP BROKE WHILE CUTTING. THE PROCEDURE WAS COMPLETED WITH THE SAME DEVICE. THERE WAS NO SURGICAL DELAY AND NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18610461 ↗MalfunctionAug 31, 2023Break; Break
IT WAS REPORTED THAT DURING AN ACL, WHEN A PUNCH BASKET WAS USING TO GRAB THE MENISCUS, ITS TIP BROKE. THE BROKEN TIP WAS REMOVED FROM THE PATIENT USING GRASPER TWEEZERS. SURGERY CONTINUED WITHOUT DELAY WITH A BACK-UP DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17666089 ↗MalfunctionAug 21, 2023Break; Break
IT WAS REPORTED THAT DURING AN ACL, A PUNCH BASKET WAS MAKING A NOISE; IT WAS THEN NOTICED THAT THE ROD THAT MAKES THE MOUTH OF THE DEVICE OPEN AND CLOSE WAS BROKEN. SURGERY CONTINUED WITHOUT ANY DELAY, WITH THE SAME DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17592465 ↗MalfunctionApr 26, 2023Break; Break
IT WAS REPORTED THAT DURING ARTHROSCOPY, WHEN CLAMPING THE MENISCUS THE CLAMP OF THE BASKET PUNCH BROKE. NO SURGICAL DELAY WAS REPORTED AND IT IS UNKNOWN HOW THE PROCEDURE WAS COMPLETED. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16818121 ↗MalfunctionAug 18, 2022Break; Break
IT WAS REPORTED THAT DURING A KNEE ARTHROSCOPY PROCEDURE, WHILE THE BASKET PUNCH WAS OUTSIDE THE PATIENT THE TOP JAW OF THE BITER PIECE BROKE OFF. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH NO DELAY USING A BACK-UP DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 15253448 ↗MalfunctionOct 13, 2020Break; Break
IT WAS REPORTED THAT THE PUNCH BASKET DUCKLING WAS BROKEN. NO CASE REPORTED; THEREFORE, THERE WAS NO PATIENT INVOLVEMENT. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: No Clinical Signs, Symptoms or Conditions; No Patient Involvement
MAUDE report 10671964 ↗InjuryJul 7, 2020Material Separation; Material Separation
IT WAS REPORTED THAT DURING A MENISCECTOMY SURGERY THE PUNCHES BUSKET IS OUT OF ORDER, THE MECHANISM IS DISASSEMBLED. THE PROCEDURE WAS COMPLETED WITHOUT SIGNIFICANT DELAY USING A COMPETITOR DEVICE. NO OTHER COMPLICATIONS WERE REPORTED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: Foreign Body In Patient
MAUDE report 10242117 ↗MalfunctionApr 13, 2020Material Separation; Material Separation
IT WAS REPORTED THAT DURING A LCA SURGERY, THE PUNCH BASKET DUCKLING BROKE INSIDE THE PATIENT. THE PIECES WERE REMOVED FROM THE PATIENT ARTICULATION. THE PROCEDURE WAS COMPLETED WITHOUT DELAY USING A BACK-UP DEVICE. NO PATIENT INJURY OR OTHER COMPLICATIONS WERE REPORTED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED. IF ADDITIONAL INFORMATION SHOULD BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 9955100 ↗MalfunctionMay 15, 2019Break; Malposition of Device; Physical Resistance/Sticking
IT WAS REPORTED THAT DURING THE SURGERY THE TOOL SHAFT WAS OFFSET. A BACKUP DEVICE WAS AVAILABLE TO COMPLETE THE PROCEDURE WITH NO DELAY OR PATIENT INJURIES. ADDITIONAL INFORMATION STATES THAT DEVICE BROKE DOWN INSIDE THE PATIENT, THERE WERE NO SEPARATED PARTS (THE MECHANISM WAS WEDGED).
Patient problems: Device Embedded In Tissue or Plaque
MAUDE report 8612218 ↗MalfunctionMay 15, 2019Loss of Power; Failure to Align
IT WAS REPORTED THAT DURING THE SURGERY THE TOOL SHAFT WAS OFFSET. A BACKUP DEVICE WAS AVAILABLE TO COMPLETE THE PROCEDURE WITH NO DELAY OR PATIENT INJURIES. ADDITIONAL INFORMATION STATES THAT DEVICE BROKE DOWN INSIDE THE PATIENT, THERE WERE NO SEPARATED PARTS (THE MECHANISM WAS WEDGED).
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 8612006 ↗MalfunctionFeb 6, 2019Component Missing; Noise, Audible
IT WAS REPORTED THAT WHEN DR. (B)(6) WAS PERFORMING ACL SURGERY AND HE WAS GOING TO USE THE DUCKLING STRAIGHT PUNCH BUT WHEN HE OPENED AND USED FOR THE PROCEDURE HE HEARD A SMALL CREEK SOUND AT THE END OF THE BITE. THE SMOOTH BITE OF THE PUNCH WAS MISSING. A BACKUP DEVICE WAS USED TO COMPLETE THE SURGERY.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 8312969 ↗MalfunctionNov 1, 2018Material Fragmentation
IT WAS REPORTED THAT DURING THE CASE THE UNIT BROKE INTO THE PATIENT AND BROKEN PIECES WERE REMOVED ARTHROSCOPICALLY FROM THE PATIENT. THERE WAS A SIGNIFICANT DELAY GRATER THAT 30 MINUTES. A BACKUP DEVICE WAS AVAILABLE TO COMPLETE THE PROCEDURE WITH NO PATIENT INJURIES REPORTED.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 8029005 ↗
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- FirstPass 72290129Smith & Nephew, Inc. · Accessories, arthroscopic82 reports
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- MITEK 242025Medos International Sàrl · ACCESSORIES,ARTHROSCOPIC61 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 13, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 13, 2026
- Page last rebuilt: Oct 13, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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