FDA Adverse Event Malfunction Summary report: N

BIOSTEON INTRALINE

MDR report key: 10565786 · Received September 22, 2020

Report

Report Number
9617083-2020-00001
Event Type
Malfunction
Date Received
September 22, 2020
Date of Event
September 14, 2020
Report Date
September 22, 2020
Manufacturer
BIOCOMPOSITES LTD.
Product Code
LOE
UDI-DI
15060155711185
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE FOLLOWING DEVICES WERE SHIPPED TO STRYKER IN (B)(6) WITH MISSING CONTRAINDICATION SECTION IN THE INSTRUCTIONS FOR USE. COMMERCIAL NAME/BRAND: BIOSTEON INTRALINE 5.5MM ANCHOR, NEEDLES, TWO #2 FORCE FIBER. BIOSTEON INTRALINE 5.5MM ANCHOR, THREE #2 FORCE FIBER. BIOSTEON INTRALINE 6.5MM ANCHOR, THREE #2 FORCE FIBER. LOT/BATCH NUMBERS: BI200709, BI200710. MODEL NUMBERS: 3910-200-082 - QUANTITY SHIPPED: X18 PACKS - TOTAL OF X90 DEVICES, X5 PER PACK. 3910-200-083 - QUANTITY SHIPPED X6 PACKS - TOTAL OF X30 DEVICES, X5 PER PACK 3910-200-086 - QUANTITY SHIPPED X10 PACKS - TOTAL OF X50 DEVICES, X5 PER PACK. RECALL REASON: INSTRUCTIONS FOR USE (IFU) ARE MISSING CONTRAINDICATIONS SECTION. PLANNED ACTION: PRODUCTS AFFECTED TO BE RETURNED TO BIOCOMPOSITES LTD. FOR REWORKING TO ADD AMENDED INSTRUCTIONS FOR USE.

Description of Event or Problem · 1

BIOSTEON INTRALINE DEVICES LEFT THE MANUFACTURING SITE WITH KEY INFORMATION MISSING FROM THE INSTRUCTIONS FOR USE. CONTRAINDICATIONS WERE MISSING FROM LATEST REVISION (REVISION E) DURING UPDATE OF THE INSTRUCTIONS FOR USE, THE CONTRAINDICATIONS SECTION WAS MISSING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1035607 BIOSTEON INTRALINE SUTURE ANCHOR LOE BIOCOMPOSITES LTD. 3910-200-083 BS200709/710 15060155711185

Patients

Seq Age Sex Outcome Treatment
1