FDA Adverse Event Malfunction Summary report: N

SUTURELASSO, 45 DEGREE, CURVE LEFT

MDR report key: 19738906 · Received July 15, 2024

Report

Report Number
1220246-2024-06729
Event Type
Malfunction
Date Received
July 15, 2024
Date of Event
June 17, 2024
Report Date
September 26, 2024
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867031470
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

COMPLAINT ALLEGATION WAS NOT CONFIRMED. TWO SEALED PACKAGES OF AR-4068-45L WITH THE BATCH NUMBER 4003137529 WERE RECEIVED FOR EVALUATION. HOWEVER, THE DEVICES IN QUESTION FOR THE COMPLAINT ALLEGATION WERE NOT RECEIVED FOR EVALUATION. VISUAL INSPECTION FOUND NOT ISSUES WITH THE RETURNED DEVICES. THE OUTER TUBE DIAMETER WAS MEASURE BY DRAWING C4323 AT REVISION. 1. Ø .153 ± .001. RESULTS. .153 THE CURVED TIP WAS MEASURED BY DRAWING C4313 AT REVISION 0. Ø .073 ± .001 RESULT. .073. BASED ON THE INFORMATION PROVIDED WHICH MAY INCLUDE THE DEVICE (IF AVAILABLE AND RETURNED), PICTURES, VIDEOS, EVENT DESCRIPTION, AND ANY ADDITIONAL INFORMATION FROM THE FIELD, ARTHREX WAS ABLE TO CONCLUDE A MOST LIKELY CAUSE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO, MISALIGNED INSERTION, PRYING/LEVERAGING THE DEVICE DURING INSERTION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A LABRUM REFIXATION SURGERY THE TIP OF THE DEVICE BROKE OFF WHEN PIERCING THE TISSUE. ALL PARTS WERE RETRIEVED FROM THE PATIENT. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. THE SURGERY WAS FINISHED SUCCESSFULLY WITH ANOTHER DEVICE. 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
1460044 SUTURELASSO, 45 DEGREE, CURVE LEFT ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. SUTURELASSO, 45 DEGREE, CURVE LEFT 4003137529 00888867031470

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown