FDA Adverse Event Other Summary report: N

MENISCAL CINCH

MDR report key: 1375640 · Received February 27, 2009

Report

Report Number
1220246-2009-00018
Event Type
Other
Date Received
February 27, 2009
Date of Event
January 19, 2009
Report Date
February 2, 2009
Manufacturer
ARTHREX, INC.
Product Code
GAT
PMA / PMN Number
K073149
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS REQUESTED FOR EVAL BUT WAS NOT RETURNED, THEREFORE, THE COMPLAINANT'S EVENT COULD NOT BE VERIFIED. THE CAUSE OF THE EVENT COULD NOT BE DETERMINED FROM THE INFO AVAILABLE AND WITHOUT DEVICE EVAL. DEVICE HISTORY RECORD REVIEW REVEALED NOTHING RELEVANT TO THIS EVENT. BASED ON THE INFO PROVIDED, THE MOST LIKELY CAUSE OF THE IMPLANT NOT COMING OUT OF THE CANNULA IS NOT FOLLOWING THE DEPLOYMENT SEQUENCE AS STATED IN THE SURGICAL TECHNIQUE GUIDES. THIS IS THE FIRST COMPLAINT OF THIS TYPE FOR THIS PART/LOT COMBINATION. THE POTENTIAL CAUSES OF THIS EVENT ARE BEING COMMUNICATED TO THE EVENT REPORTER. IF THE DEVICE IS RETURNED AND ADD'L RELEVANT INFO IS OBTAINED, A F/U REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A MENISCAL REPAIR PROCEDURE, THE SURGEON CONVERTED TO A MENISCUS RESECTION. THREE REPAIR DEVICES WERE USED IN THE CASE. THE #2 IMPLANTS DID NOT COME OUT (OF THE CANNULA); THE HOSPITAL STAFF THREW THE ITEMS AWAY. ALL PARTS OF THE DEVICES WERE RETRIEVED FROM THE PT. THERE WAS A 45 MINUTE DELAY IN THE SURGERY. NO FURTHER PT INFO WAS PROVIDED AT THE TIME OF THIS REPORT OR IN RESPONSE TO F/U COMMUNICATION. NO ADD'L ADVERSE CONSEQUENCES HAVE BEEN REPORTED FROM THIS EVENT. THIS DEVICE IS USED FOR TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MENISCAL CINCH GAT ARTHREX, INC. NA 233382

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention INFO REQUESTED BUT NOT PROVIDED