FDA Adverse Event Malfunction Summary report: N

FIBERSTITCH IMPLANT, CURVED WITH TWO POLYESTER IMPLANTS AND 2-0 FIBERWIRE® SUTU

MDR report key: 19999663 · Received August 19, 2024

Report

Report Number
19999663
Event Type
Malfunction
Date Received
August 19, 2024
Date of Event
June 13, 2024
Report Date
August 5, 2024
Manufacturer
T.A.G. MEDICAL PRODUCTS CORPORATION LTD
Product Code
MBI
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

NEEDLE BROKE INSIDE THE PATIENT'S LEFT KNEE WHILE ARTHREX FIBERSTITCH DEVICE WAS IN USE. DEVICE NAME "ARTHREX FIBERSTITCH IMPLANT, CURVED WITH TWO POLYESTER IMPLANTS AND 2-0 FIBERWIRE SUTURE" AR- 4570. LOT 23B129 EXP 2027-08-31. FLUORO CALLED IN THE ROOM, NEEDLE RETRIEVED WITH FLUOR GUIDANCE BY SURGEON. POST OP PORTABLE XRAY DONE. PER DR. (B)(6) (RADIOLOGY) NO NEEDLE NOTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2394577 FIBERSTITCH IMPLANT, CURVED WITH TWO POLYESTER IMPLANTS AND 2-0 FIBERWIRE® SUTU FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE MBI T.A.G. MEDICAL PRODUCTS CORPORATION LTD AR-4570 23B129

Patients

Seq Age Sex Outcome Treatment
1 NA Prefer Not To Disclose