FDA Adverse Event Injury Summary report: N

FAST-FIX 360 STRAIGHT NDL DELIVERY SY

MDR report key: 15293651 · Received August 25, 2022

Report

Report Number
1219602-2022-01236
Event Type
Injury
Date Received
August 25, 2022
Date of Event
August 3, 2022
Report Date
December 27, 2022
Manufacturer
SMITH & NEPHEW, INC.
Product Code
GAT
UDI-DI
00885554023060
PMA / PMN Number
K092508
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE: (B)(4).

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE CASE-2022-00115993-1. H10, H3, H6: THE REPORTED DEVICE WAS NOT RETURNED TO THE DESIGNATED COMPLAINT UNIT FOR INDEPENDENT EVALUATION, THUS VISUAL INSPECTION AND FUNCTIONAL TESTING COULD NOT BE PERFORMED. A REVIEW OF DEVICE RECORDS SHOWED THERE WERE NO INDICATIONS TO SUGGEST THAT THE PRODUCT DID NOT MEET MANUFACTURING SPECIFICATIONS UPON RELEASE FOR DISTRIBUTION. A COMPLAINT HISTORY REVIEW FOUND SIMILAR REPORTED EVENTS. THE INSTRUCTIONS FOR USE WERE REVIEWED AND FOUND TO INCLUDE CONDITIONS OF OFF LABEL USE AND TECHNIQUE SPECIFICS, AS WELL AS PRECAUTIONS AND WARNINGS RELATED TO THE USE OF THE DEVICE. A RISK MANAGEMENT REVIEW FOUND THAT THE REPORTED FAILURE AND/OR HARM WAS DOCUMENTED APPROPRIATELY, AND THERE WERE NO INDICATIONS TO SUGGEST THE ANTICIPATED RISK IS NOT ADEQUATE. AN ANALYSIS OF THE CUSTOMER PROVIDED IMAGE SHOWED THE PACKAGING OF THE DEVICE AND CONFIRMED THE LOT AND PART NUMBER. THE DEVICE IS SHOWN INSIDE THE POUCH, THE ANCHORS ARE NOT SHOWN. THERE WAS NO RELATIONSHIP FOUND BETWEEN THE DEVICE AND THE REPORTED EVENT. THE COMPLAINT WAS NOT CONFIRMED. PLEASE REFER TO THE INSTRUCTIONS FOR USE FOR RECOMMENDATIONS ON PROPER USE OF THE DEVICE AND POTENTIAL TROUBLESHOOTING METHODS TO PREVENT FUTURE REOCCURRENCE OF THE REPORTED EVENT. NO CONTAINMENT OR CORRECTIVE ACTIONS ARE RECOMMENDED AT THIS TIME. IF THE PRODUCT ASSOCIATED WITH THIS EVENT IS RETURNED AT A FUTURE DATE, THIS INVESTIGATION WILL BE REOPENED FOR EVALUATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A MENISCUS REPAIR, T2 OF THE FAST-FIX CAME OUT WHILE DEPLOYING T1. BOTH ANCHORS WERE REMOVED BY AN ARTHROSCOPY HHI GRASPER. THE PROCEDURE WAS COMPLETED WITH A S+N BACK UP DEVICE. THERE WAS A NON-SIGNIFICANT DELAY AND NO FURTHER COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2344744 FAST-FIX 360 STRAIGHT NDL DELIVERY SY SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE GAT SMITH & NEPHEW, INC. 72202467 2080986 00885554023060

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention