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REFLECTION 71362295Recalls & reported problems

Smith & Nephew, Inc. · REFLECTION BALL JOINT SCREWDRIVER SHAFT · Class 1

Quick summary

This Smith & Nephew Reflection screwdriver shaft is a surgical instrument used to insert screws during hip replacement surgery. Many of the 178 reports describe the shaft breaking or its tip snapping during surgery, with a backup used to finish the procedure. The reports include 148 malfunctions, 30 injuries and no deaths. No recalls name this device.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
178
Deaths reported
0
Injuries reported
30
Recalls naming it
0

Summary

The FDA's MAUDE database contains 178 adverse event reports that list this exact device (DI 03596010454201), received between Feb 14, 2018 and May 31, 2026 — classified as 30 injuries, 148 malfunctions.

The most frequently reported specific device problem is “Break” (106 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

Nov 2023: 1 reportsDec 2023: 3 reportsJan 2024: 0 reportsFeb 2024: 1 reportsMar 2024: 2 reportsApr 2024: 3 reportsMay 2024: 1 reportsJun 2024: 1 reportsJul 2024: 2 reportsAug 2024: 2 reportsSep 2024: 0 reportsOct 2024: 1 reportsNov 2024: 1 reportsDec 2024: 2 reportsJan 2025: 2 reportsFeb 2025: 2 reportsMar 2025: 2 reportsApr 2025: 1 reportsMay 2025: 1 reportsJun 2025: 0 reportsJul 2025: 1 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 1 reportsNov 2025: 0 reportsDec 2025: 1 reportsJan 2026: 0 reportsFeb 2026: 3 reportsMar 2026: 2 reportsApr 2026: 0 reportsMay 2026: 4 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520264
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Break106
  • Fracture58
  • Detachment of Device or Device Component8
  • Material Deformation6
  • Loose or Intermittent Connection3
  • Connection Problem2
  • Incomplete or Inadequate Connection2
  • Material Fragmentation2

Patient problems

  • No Clinical Signs, Symptoms or Conditions130
  • No Consequences Or Impact To Patient26
  • No Known Impact Or Consequence To Patient13
  • No Information8
  • Foreign Body In Patient2
  • No Patient Involvement2
  • Failure of Implant1
  • Not Applicable1

Recent adverse event reports

The 25 most recent of 178 reports, in the reporter's own words as published by the FDA.

  • MalfunctionMay 31, 2026Break

    IT WAS REPORTED THAT, DURING A THA SURGERY, ONE (1) REF BALL JNT SCREWDRIVER SHAFT WAS BROKEN. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25342864 ↗
  • MalfunctionMay 25, 2026Fracture

    IT WAS REPORTED THAT, DURING A THA SURGERY, THE TIP OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE OFF DUE TO TORSION. ALL BROKEN PIECES WERE ACCOUNTED FOR AND DID NOT FALL IN THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25273385 ↗
  • MalfunctionMay 18, 2026Break

    IT WAS REPORTED THAT, DURING A THA SURGERY, THE TIP OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25203657 ↗
  • MalfunctionMay 15, 2026Fracture

    IT WAS REPORTED THAT, DURING A THR SURGERY, THE TIP ON ONE REF BALL JNT SCREWDRIVER SHAFT BROKE OFF, ALL PIECES WERE ACCOUNTED FOR. THE PROCEDURE WAS PERFORMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACKUP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25185578 ↗
  • MalfunctionMar 31, 2026Break

    IT WAS REPORTED THAT, DURING A THA SURGERY, TWO (2) REF BALL JNT SCREWDRIVER SHAFT BROKE. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24748122 ↗
  • MalfunctionMar 7, 2026Fracture

    IT WAS REPORTED THAT DURING A THA, THE REF BALL JNT SCREWDRIVER SHAFT BROKE OFF WHEN INSERTING SCREW INTO 3 HOLE CUP. THE FRAGMENT DID FALL INTO THE PATIENT, BUT WAS REMOVED PROMPTLY BY HAND. THE PROCEDURE WAS RESUMED, AFTER A NON-SIGNIFICANT DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24540971 ↗
  • MalfunctionFeb 4, 2026Fracture

    IT WAS REPORTED THAT, DURING A THR SURGERY ONE (1) REF BALL JNT SCREWDRIVER SHAFT SNAPPED AT THE END OF IT WHILE INSERTING A SCREW IN THE CUP. THE PROCEDURE WAS PERFORMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24257643 ↗
  • MalfunctionFeb 3, 2026Break

    IT WAS REPORTED THAT, DURING A THR SURGERY, ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE WHILE PUTTING THE SCREW IN. IT IS UNKNOWN IF ANY PIECE FELL INSIDE THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24246689 ↗
  • MalfunctionFeb 2, 2026Fracture

    IT WAS REPORTED THAT, DURING A THA SURGERY, IT WAS NOTICED THAT THE BALL JOINT CONNECTION OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE. NO PIECES FELL INSIDE THE WOUND. THE PROCEDURE WAS PERFORMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACKUP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24233094 ↗
  • MalfunctionDec 2, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A THR SURGERY ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE WHEN THE SURGEON WAS REMOVING IT FROM THE LAST SCREW THAT NEEDED TO BE PUT IN. THE SCREWDRIVER WAS USED IN SURGERY TO PLACE TWO SCREWS AND WAS DISCOVERED TO BE BROKEN AFTER IT WAS FINISHED BEING USED WHILE SITTING ON THE BACK TABLE. NOTHING WAS LEFT ON THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23700186 ↗
  • MalfunctionOct 24, 2025Break; Break

    IT WAS REPORTED THAT DURING A THA SURGERY, THE REF BALL JNT SCREWDRIVER SHAFT BROKE DURING SCREW INSERTION. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. PATIENT WAS NOT HARMED AS CONSEQUENCE OF THIS PROBLEM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23381121 ↗
  • MalfunctionJul 14, 2025Fracture; Fracture

    IT WAS REPORTED THAT DURING A THR SURGERY, A REFLECTION BALL JOINT SCREWDRIVER SHAFT PIECE BROKE OFF. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY. IT IS UNKNOWN HOW WAS COMPLETED THE SURGERY. PATIENT WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22493011 ↗
  • MalfunctionMay 15, 2025Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED THAT DURING A THR THE ROTATING BALL TIP OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT DISASSEMBLED WHEN THE PIN CAME OUT, NOTHING LEFT IN THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22024910 ↗
  • MalfunctionApr 16, 2025Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED THAT, DURING A THR SURGERY, ONE (1) REF BALL JNT SCREWDRIVER SHAFT DISASSEMBLED WHILE INSERTING THE SCREW TO PATIENT¿S ACETABULUM. X-RAYS CONFIRMED THAT NO PIECES REMAINED INSIDE THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21851609 ↗
  • MalfunctionMar 26, 2025Fracture; Fracture

    IT WAS REPORTED THAT DURING A TOTAL HIP REPLACEMENT, A REF. BALL JNT SCREWDRIVER SHAFT BROKE WHILE INSERTING A SCREW, AND THE BROKEN MATERIAL FELL INTO THE CUP IN THE PATIENT. THE BROKEN PIECE WAS REMOVED USING TWEEZERS. THERE WAS NO SURGICAL DELAY, AND THE PROCEDURE WAS COMPLETED USING THE SAME FAULTY DEVICE. THE PATIENT WAS NOT HARMED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21694974 ↗
  • MalfunctionMar 6, 2025Break; Detachment of Device or Device Component; Break; Detachment of Device or Device Component

    IT WAS REPORTED THAT, DURING A THA SURGERY, ONE (1) REF BALL JNT SCREWDRIVER SHAFT WAS BROKEN BY SURGEON. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21542963 ↗
  • MalfunctionFeb 24, 2025Fracture; Detachment of Device or Device Component; Fracture; Detachment of Device or Device Component

    IT WAS REPORTED THAT, DURING AN R3 PROCEDURE, A (1) REF BALL JNT SCREWDRIVER SHAFT BROKE. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21445989 ↗
  • MalfunctionFeb 13, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING THR SURGERY, THE TIP OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE. IT IS UNKNOWN OF ANY PIECE FELL INSIDE THE INCISION. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21375609 ↗
  • MalfunctionJan 23, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING THR SURGERY, THE HEAD OF ONE [1] REF BALL JNT SCREWDRIVER SHAFT SNAPPED OFF WHILE SURGEON WAS PUTTING SCREW INTO CUP. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21217055 ↗
  • MalfunctionJan 10, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A THR, THE WORKING HEX END OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT SNAPPED WHILE SCREWING IN THE SCREW. THE PIECES WERE RECOVERED AND DISCARDED APPROPRIATELY BY HOSPITAL STAFF. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21124923 ↗
  • MalfunctionDec 3, 2024Fracture; Detachment of Device or Device Component; Fracture; Detachment of Device or Device Component

    IT WAS REPORTED THAT, DURING A THR, A (1) REF BALL JNT SCREWDRIVER SHAFT BROKE WHEN PUTTING IN A SCREW. IT IS UNKNOWN IF THERE WAS A BACK UP DEVICE AVAILABLE OR IF THERE WAS A DELAY. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20833343 ↗
  • MalfunctionDec 3, 2024Fracture; Fracture

    IT WAS REPORTED THAT, DURING THR SURGERY, ONE (1) REF BALL JNT SCREWDRIVER SHAFT WAS BROKEN ALONG WITH THE R3 VARIABLE ANGLE DRILL GUIDE. IT IS UNKNOWN HOW THE PROCEDURE WAS COMPLETED, OR IF IT CAUSED ANY DELAY. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20833145 ↗
  • MalfunctionNov 18, 2024Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED THAT, DURING AN UNKNOWN SURGERY, THE BALL AT THE TOP OF ONE (1) REF BALL JNT SCREWDRIVER SHAFT BROKE OUT OF THE SOCKET. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY. IT IS UNKNOWN IF THERE WAS A BACKUP DEVICE AVAILABLE NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20707498 ↗
  • MalfunctionOct 31, 2024Fracture; Fracture

    IT WAS REPORTED THAT DURING SURGERY, THE TIP OF ONE (X1) REF BALL JNT SCREWDRIVER SHAFT BROKEN OFF WHEN INSERTING SCREW. NOTHING LEFT IN PATIENT. ALL PIECES RETRIEVED BY HAND. THE PROCEDURE WAS COMPLETED WITHOUT DELAY USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20578111 ↗
  • MalfunctionAug 12, 2024Fracture; Fracture

    IT WAS REPORTED THAT DURING AN UNKNOWN SURGERY, THE TIP OF THE REF BALL JNT SCREWDRIVER SHAFT DEVICE GOT BROKEN. THE PROCEDURE WAS PERFORMED, AFTER A NON-SIGNIFICANT DELAY, BUT IT IS UNKNOWN HOW. PATIENT WAS NOT HARMED AS CONSEQUENCE OF THIS PROBLEM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19968468 ↗

Other SCREWDRIVER devices

All SCREWDRIVER devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.