REFLECTION 71364023Recalls & reported problems
Smith & Nephew, Inc. · MINAMALLY INVASIVE OFFSET REFLECTION IMPACTOR SCREWDRIVER SHAFT · Class 2
- Adverse event reports
- 18
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 18 adverse event reports that list this exact device (DI 03596010479136), received between Sep 6, 2018 and Aug 11, 2021 — classified as 1 injury, 17 malfunctions.
The most frequently reported specific device problem is “Material Deformation” (7 reports).
2 other recalls cover devices cleared under the same FDA submission (K123598); they may or may not involve this specific model.
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.
Most reported problems
Device problems
- Material Deformation7
- Break4
- Naturally Worn3
- Defective Device2
- Connection Problem1
- Material Twisted/Bent1
Patient problems
- No Clinical Signs, Symptoms or Conditions11
- No Known Impact Or Consequence To Patient4
- No Consequences Or Impact To Patient3
- No Patient Involvement3
Recent adverse event reports
The 18 most recent of 18 reports, in the reporter's own words as published by the FDA.
MalfunctionAug 11, 2021Break; Break
IT WAS REPORTED THAT DURING A META TIBIAL NAIL SURGERY, TWO MI OFFSET REF IMP SD SHAFT HEADS, SNAPPED OFF. PROCEDURE WAS ABLE TO BE COMPLETED WITH A SMITH AND NEPHEW BACKUP DEVICE, A DELAY OF LESS THAN OR EQUAL TO 30 MINUTES WAS REPORTED. NO PATIENT HARM REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12307560 ↗MalfunctionAug 10, 2021Break; Break
IT WAS REPORTED THAT DURING A META TIBIAL NAIL SURGERY, TWO MI OFFSET REF IMP SD SHAFT HEADS, SNAPPED OFF. PROCEDURE WAS ABLE TO BE COMPLETED WITH A SMITH AND NEPHEW BACKUP DEVICE, A DELAY OF LESS THAN OR EQUAL TO 30 MINUTES WAS REPORTED. NO PATIENT HARM REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12304392 ↗MalfunctionJul 12, 2021Material Deformation; Material Deformation
IT WAS REPORTED THAT, DURING A THA, A MI OFFSET REFLECTION IMP SD SHAFT WAS NOTICED TO BE STRIPPED. THE PROCEDURE WAS FINISHED WITHOUT DELAY USING A SMITH & NEPHEW BACK UP DEVICE. PATIENT WAS NOT HARMED AS CONSEQUENCE OF THIS PROBLEM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12151139 ↗MalfunctionJul 9, 2021Material Deformation; Material Deformation
IT WAS REPORTED THAT, DURING A THA, A MI OFFSET REFLECTION IMP SD SHAFT WAS NOTICED TO BE STRIPPED. THE PROCEDURE WAS FINISHED WITHOUT DELAY USING A SMITH & NEPHEW BACK UP DEVICE. PATIENT WAS NOT HARMED AS CONSEQUENCE OF THIS PROBLEM.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12143795 ↗MalfunctionJun 8, 2021Break; Break
IT WAS REPORTED THAT DURING A THR SURGERY, THE MI OFFSET REFLECTION IMP SD SHAFT BROKE OUTSIDE THE PATIENT. THERE WAS NO SIGNIFICANT DELAY AND THE PROCEDURE WAS FINISHED USING A SMITH & NEPHEW BACK UP. PATIENT WAS NOT HARMED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11963559 ↗MalfunctionApr 18, 2021Material Twisted/Bent; Material Twisted/Bent
IT WAS REPORTED THAT, DURING AN INSTRUMENT INSPECTION, IT WAS FOUND THAT THE THREADS ON BOTH OF THESE INSTRUMENTS WERE STRIPPED, MAKING THEM UNFIT FOR FURTHER USE. NO CASE REPORTED; THEREFORE, THERE WAS NO PATIENT INVOLVEMENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11683503 ↗InjuryFeb 15, 2021Break; Break
IT WAS REPORTED THAT DURING A THR THE FOLLOWING INSTRUMENTS BROKE. INSTRUMENTS INSIDE PATIENT. UNKNOWN HOW THE PROCEDURE WAS FINISHED OR IF THERE WAS A SURGICAL DELAY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11326451 ↗MalfunctionJan 18, 2021Material Deformation; Material Deformation
IT WAS REPORTED THAT DURING INSPECTION, WAS FOUND THAT THE MI OFFSET REFLECTION IMP SD SHAFT IS STRIPPED, IT IS NO LONGER SUITABLE FOR USE. NO CASE INVOLVED. 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
MAUDE report 11189506 ↗MalfunctionNov 6, 2020Defective Device; Defective Device
IT WAS REPORTED THAT DURING THR PROCEDURE THE MI OFFSET REF IMP SD SHAFT GOT STRIPPED. NO DELAY AND A S&N BACK UP DEVICE WAS AVAILABLE TO COMPLETE THE PROCEDURE. NO INJURIES OR OTHER COMPLICATIONS WERE REPORTED AT THIS TIME. 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 10804642 ↗MalfunctionNov 6, 2020Defective Device; Defective Device
IT WAS REPORTED THAT AFTER THR PROCEDURE THE MI OFFSET REF IMP SD SHAFT WAS FOUND TO BE STRIPPED. NO DELAY AND PROCEDURE CONCLUDED WITH THE SAME DEVICE. NO INJURIES OR OTHER COMPLICATIONS WERE REPORTED AT THIS TIME. 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 10804540 ↗MalfunctionNov 5, 2020Material Deformation; Material Deformation
IT WAS REPORTED THAT THE SCREWDRIVER HAS LOST ALL THREADING AND DOESN'T WORK. IT IS UNKNOWN WHEN THE EVENT OCCURS, IF THERE WAS ANY DELAY, IF THERE WAS A BACKUP AVAILABLE TO FINISH THE PROCEDURE AND IF THERE WAS A PATIENT INVOLVED IN THE CASE.
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 10796019 ↗MalfunctionNov 5, 2020Material Deformation; Material Deformation
IT WAS REPORTED THAT, DURING SURGERY, INSTRUMENT STRIPPED AND WOULD NOT WORK PROPERLY. PROCEDURE CONTINUED WITH THE SAME DEVICE WITHOUT A DELAY OR AN INJURY.
Patient problems: No Clinical Signs, Symptoms or Conditions; No Consequences Or Impact To Patient
MAUDE report 10794815 ↗MalfunctionNov 5, 2020Material Deformation; Material Deformation
IT WAS REPORTED THAT, DURING SURGERY, INSTRUMENT STRIPPED AND WOULD NOT WORK PROPERLY. PROCEDURE CONTINUED WITH THE SAME DEVICE WITHOUT A DELAY OR A INJURY.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 10794601 ↗MalfunctionSep 28, 2020Naturally Worn; Naturally Worn
IT WAS REPORTED THAT THE DEVICE NEED REPLACING DUE TO WEAR AND TEAR. THERE WAS NO CASE INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions; No Patient Involvement
MAUDE report 10591537 ↗MalfunctionSep 28, 2020Naturally Worn; Naturally Worn
IT WAS REPORTED THAT THE DEVICE NEED REPLACING DUE TO WEAR AND TEAR. THERE WAS NO CASE INVOLVED.
Patient problems: No Clinical Signs, Symptoms or Conditions; No Patient Involvement
MAUDE report 10591536 ↗MalfunctionSep 28, 2020Naturally Worn; Naturally Worn
IT WAS REPORTED THAT THE DEVICE NEED REPLACING DUE TO WEAR AND TEAR. THERE WAS NO CASE INVOLVED.
Patient problems: No Patient Involvement
MAUDE report 10591534 ↗MalfunctionApr 30, 2020Material Deformation; Material Deformation
IT WAS REPORTED THAT THE SURGEON STATES THAT THIS DRIVER WHEN ATTACHING THE CUP IS STRIPPING. NO DELAY TO PROCEDURE, NO INJURY TO PATIENT. S&N BACKUP WAS AVAILABLE.
Patient problems: No Consequences Or Impact To Patient
MAUDE report 10015509 ↗MalfunctionSep 6, 2018Connection Problem; Connection Problem
IT WAS REPORTED A MALFUNCTION IN WHICH THE SCREWS WERE SLIPPING ON THE DEVICE. IT WAS REQUIRED TO RETRIEVE A PLASTIC PIECE FROM THE INSIDE OUT OF PATIENT
Patient problems: No Known Impact Or Consequence To Patient
MAUDE report 7850921 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K123598. One submission often covers many models, so check the product and lot details in each record.
- Z-0730-2019 · Jan 7, 2019 · TerminatedSL PLUS MIA DOUBLE OFFSET ADAPTER RIGHT 60/25MM, S&N 75004613
- Z-1008-2017 · Nov 16, 2016 · TerminatedREFLECTION(R) DEAD BLOW MALLET, REF 71362106, QTY: (1), NON-STERILE, Smith & Nephew, Inc,. Memphis, TN 38116
Other Prosthesis, hip, femoral component, cemented, metal devices
- GENESIS II 71440005Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal599 reports
- NA 71364073Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal436 reports
- Peri-Loc 71173377Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal401 reports
- R3 71368569Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal398 reports
- NA 71364006Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal197 reports
- NA 71364011Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal176 reports
- Accord 71360046Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal171 reports
- REFLECTION 71362279Smith & Nephew, Inc. · Prosthesis, hip, femoral component, cemented, metal155 reports
Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.