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 |