BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FAST-FIX 360 CURVED NDL DELIVERY SYS

    MDR report key: 16308894 · Received February 6, 2023

    Report

    Report Number
    1219602-2023-00150
    Event Type
    Injury
    Date Received
    February 6, 2023
    Date of Event
    January 12, 2023
    Report Date
    June 29, 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
    CO
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    INTERNAL COMPLAINT REFERENCE: (B)(4).

    Additional Manufacturer Narrative · 0

    H3, H6: THE REPORTED DEVICE WAS RECEIVED FOR EVALUATION. A VISUAL INSPECTION FOUND THAT IT IS NOT IN ITS ORIGINAL PACKAGING. THE INSERTION DEVICE WAS RETURNED WITH THE ACTUATOR BAR EXTENDED PAST THE TIP OF THE NEEDLE, WITH NO SUTURE OR IMPLANTS RETURNED. A FUNCTIONAL EVALUATION FINDS IT IS UNABLE TO CYCLE AS THE ACTUATOR BAR IS EXTENDED PAST THE TIP OF THE NEEDLE AND WILL NOT RETRACT. A REVIEW OF DEVICE RECORDS SHOWED THERE WERE NO INDICATIONS TO SUGGEST THAT THE PRODUCT DID NOT MEET MANUFACTURING SPECIFICATION UPON RELEASE FOR DISTRIBUTION. A COMPLAINT HISTORY REVIEW FOUND SIMILAR REPORTED EVENTS. THE INSTRUCTIONS FOR USE WAS 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. THE ROOT CAUSE WAS ASSOCIATED WITH UNINTENDED USE OF THE DEVICE. FACTORS, WHICH COULD HAVE CONTRIBUTED TO THE COMPLAINT EVENT, INCLUDE AN APPLICATION OF UNINTENDED INAPPROPRIATE OR EXCESSIVE FORCE TO THE DEVICE. NO CONTAINMENT OR CORRECTIVE ACTIONS ARE RECOMMENDED AT THIS TIME.

    Description of Event or Problem · 0

    IT WAS REPORTED THAT, DURING AN ARTHROSCOPY, THE SLIDER OF THE FAST-FIX 360 DID NOT ACTUATE FOR THE DEPLOYMENT OF THE T2 IMPLANT. SURGERY WAS COMPLETED WITHOUT DELAY, HOWEVER, IT IS UNKNOWN IF THERE WAS A BACK-UP DEVICE AVAILABLE. PATIENT'S CURRENT STATUS IS STABLE. NO FURTHER COMPLICATIONS WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1326970 FAST-FIX 360 CURVED NDL DELIVERY SYS SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE GAT SMITH & NEPHEW, INC. 72202468 2088337 00885554023077

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Other