FDA Adverse Event Injury Summary report: N

FAST-FIX 360 CURVED NDL DELIVERY SYS

MDR report key: 16616749 · Received March 26, 2023

Report

Report Number
1219602-2023-00426
Event Type
Injury
Date Received
March 26, 2023
Date of Event
March 2, 2023
Report Date
July 4, 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
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H10: INTERNAL COMPLAINT REFERENCE (B)(4). 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 IN THE PRET2/POSTT1 SETTING WITH NO SUTURE OR IMPLANTS RETURNED. A FUNCTIONAL EVALUATION FINDS IT DOES NOT CYCLE AS DESIGNED. 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. CORRECTED INFORMATION IN A1 (SHOULD BE READ IN BLANK), B5 (WORDING), AND H6 (HEALTH EFFECT - IMPACT CODE).

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE: CASE (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A MENISCUS REPAIR SURGERY, THE T2 OF THE FAST FIX DEVICE COULD NOT BE DEPLOYED. T1 WAS LEFT SECURE IN THE PATIENT. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH NON-SIGNIFICANT DELAY USING A BACK-UP DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A MENISCUS REPAIR SURGERY, THE T2 OF THE FAST FIX DEVICE COULD NOT BE DEPLOYED. T1 WAS LEFT SECURE IN THE PATIENT. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH NON-SIGNIFICANT DELAY USING A BACK-UP DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
378284 FAST-FIX 360 CURVED NDL DELIVERY SYS SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE GAT SMITH & NEPHEW, INC. 72202468 2060477 00885554023077

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other