FDA Adverse Event
Injury
Summary report: N
QUATTRO LINK SP KNOTLESS ANCHOR
MDR report key: 19428768
·
Received May 29, 2024
Report
- Report Number
- MW5155580
- Event Type
- Injury
- Date Received
- May 29, 2024
- Date of Event
- May 23, 2024
- Report Date
- May 24, 2024
- Manufacturer
- CAYENNE MEDICAL, INC
- Product Code
- MBI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT WAS UNDERGOING RIGHT SHOULDER SURGERY. SURGEON WAS USING A QUATTRO LINK SP KNOTLESS ANCHOR AND THE TIP OF THE DEVICE BROKE OFF IN PATIENT. SURGEON WAS ABLE TO RETRIEVE THE BROKEN PIECES OF THE DEVICE AND THE SURGERY WAS COMPLETED. NO HARM TO PATIENT WAS NOTED. CAYENNE MEDICAL A ZIMMER BIOMET COMPANY. UNIQUE DEVICE IDENTIFIER (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 329800 | QUATTRO LINK SP KNOTLESS ANCHOR | FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE | MBI | CAYENNE MEDICAL, INC | CM-9145SP | 66267346 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Female | Required Intervention |