FDA Adverse Event Injury Summary report: N

UNKNOWN FAST-FIX 360

MDR report key: 16303981 · Received February 6, 2023

Report

Report Number
1219602-2023-00142
Event Type
Injury
Date Received
February 6, 2023
Date of Event
December 15, 2022
Report Date
March 7, 2023
Manufacturer
SMITH & NEPHEW, INC.
Product Code
GAT
UDI-DI
00885554023077
PMA / PMN Number
K092508
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HU
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE: (B)(4). ONE OF THE FOLLOWING DEVICES CAUSED THE NEED FOR A MENISCECTOMY: PN 72202468; LOT#: 2095238 OR 2100094, PN 72203720; LOT#: 2091839.

Additional Manufacturer Narrative · 0

H10: THE INFORMATION RECEIVED BY THE MANUFACTURER HAS BEEN RE-EVALUATED FOR MDR REPORTING AND IT WAS DETERMINED THAT THIS CASE DOES NOT MEET THE THRESHOLD FOR REPORTING AND IS A NON-REPORTABLE EVENT. ADDITIONAL INFORMATION RECEIVED BY REPORTER STATES THAT IT IS UNKNOWN WHETHER THE MENISCECTOMY WAS PERFORMED.  IF FURTHER DETAILS ARE PROVIDED CONFIRMING THE OCCURRENCE OF A REPORTABLE EVENT, OUR FILES WILL BE UPDATED ACCORDINGLY, AND A FURTHER REPORT SUBMITTED OUTLINING BOTH THE EVENT DETAILS AND OUR INVESTIGATIONS PERFORMED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE WHITE PROTECTION SLEEVE OF THREE FAST FIX 360 WAS SHORTER THAN USUAL, THEREFORE IT COULD NOT PROTECT THE IMPLANTS CORRECTLY. SURGERY WAS RESUMED, AFTER A NON-SIGNIFICANT DELAY, BY CHANGING THE TECHNIQUE TO A MENISCECTOMY. NO PATIENT COMPLICATIONS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE WHITE PROTECTION SLEEVE OF THREE FAST FIX 360 WAS SHORTER THAN USUAL, THEREFORE IT COULD NOT PROTECT THE IMPLANTS CORRECTLY. IT IS UNKNOWN HOW THE PROCEDURE WAS COMPLETED. A NON-SIGNIFICANT DELAY WAS REPORTED. NO PATIENT COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
81632 UNKNOWN FAST-FIX 360 SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE GAT SMITH & NEPHEW, INC. 72202468 UNKNOWN 00885554023077

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other