FDA Adverse Event Malfunction Summary report: N

ACL TIGHTROPE RT

MDR report key: 19477292 · Received June 6, 2024

Report

Report Number
1220246-2024-05065
Event Type
Malfunction
Date Received
June 6, 2024
Date of Event
January 18, 2023
Report Date
June 6, 2024
Manufacturer
ARTHREX, INC.
Product Code
MBI
UDI-DI
00888867019553
PMA / PMN Number
K231857
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THIS 3500A RECORD IS SUBMITTED TO COMPLY WITH AN FDA 483 INSPECTIONAL OBSERVATION ISSUED TO ARTHREX INC ON MAY 5, 2023. ARTHREX HAS REASSESSED THE REPORTABILITY DECISIONS MADE ON HISTORICAL COMPLAINT RECORDS USING REVISED CRITERION. THIS 3500A DOCUMENT IS A RESULT OF THE REASSESSMENT. COMPLAINT CONFIRMED. UPON VISUAL EVALUATION, IT WAS NOTED THAT ONE SIDE OF THE SUTURE WAS TORN, THE OTHER SIDE SEEMS TO BE CUT AND FRAYED SUTURES WERE FOUND ON ONE SIDE OF THE EYE SPLICE. HOWEVER, BLUE SUTURE WAS NOT RETURNED FOR INVESTIGATION. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO USER ERROR OF THE DEVICE DUE TO EXCESSIVE FORCE BEING USED WHEN TENSIONING THE SUTURES.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN ANTERIOR CRUCIATE LIGAMENT SURGERY THE SUTURE RUPTURED AT THE BUTTON WHEN THE SURGEON RETRACED IT. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY REPORTED. THE SURGERY WAS FINISHED SUCCESSFULLY WITH A NEW DEVICE WITH THE SAME PART NUMBER. IT WAS NOT NECESSARY TO SWITCH THE SURGICAL TECHNIQUE OR DO A SECOND SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1980340 ACL TIGHTROPE RT SMOOTH FIXATION PIN MBI ARTHREX, INC. ACL TIGHTROPE RT 15004765 00888867019553

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown