FDA Adverse Event Injury Summary report: N

UNKN DOUBLE ENDOBUTTON DEV

MDR report key: 20023281 · Received August 21, 2024

Report

Report Number
1219602-2024-01771
Event Type
Injury
Date Received
August 21, 2024
Report Date
August 16, 2024
Manufacturer
SMITH & NEPHEW, INC.
Product Code
MBI
PMA / PMN Number
K980155
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE (B)(4). H10: THIS COMPLAINT WAS OPENED BY SMITH+NEPHEW TO DOCUMENT A PATIENT COMPLICATION IDENTIFIED THROUGH A REVIEW OF CLINICAL EVIDENCE FROM LITERATURE SOURCES THAT INCLUDES REFERENCE TO THE USE OF A SMITH+NEPHEW PRODUCT. THE REPORTED ISSUE(S) RELATE TO KNOWN INHERENT PROCEDURAL RISKS THAT ARE APPROPRIATELY DOCUMENTED IN OUR RISK FILES. SMITH+NEPHEW WILL CONTINUE TO MONITOR TRENDS IN ACCORDANCE WITH OUR POST-MARKET SURVEILLANCE PROCESS AND TAKE NECESSARY ACTION AS REQUIRED IF ANTICIPATED SEVERITY AND/OR OCCURRENCE RATES ARE EXCEEDED. SMITH+NEPHEW HAS NO REASON TO SUSPECT THAT THE PRODUCT FAILED TO MEET ANY SPECIFICATIONS AT THE TIME OF MANUFACTURE. BASED ON OUR REVIEW OF ALL CURRENTLY AVAILABLE INFORMATION, WE ARE UNABLE TO CONFIRM A RELATIONSHIP BETWEEN THE REPORTED EVENT AND THE DEVICE OR IDENTIFY A DEFINITIVE ROOT CAUSE. HOWEVER, AS THE USE OF OUR PRODUCT CANNOT BE EXCLUDED AS A POTENTIAL CAUSE OR CONTRIBUTORY FACTOR TO THE REPORTED ISSUE, WE ARE CONSERVATIVELY SUBMITTING THIS REPORT IN ACCORDANCE WITH APPLICABLE REGULATIONS. IF ADDITIONAL INFORMATION BECOMES AVAILABLE THAT ALTERS THE CONCLUSIONS OF THIS REPORT, A FOLLOW-UP REPORT WILL BE SUBMITTED AS REQUIRED.

Description of Event or Problem · 0

IT WAS REPORTED THAT ON LITERATURE REVIEW SURGICAL ACCIDENTS AND POSTOPERATIVE COMPLICATIONS OF RECURRENT SHOULDER DISLOCATION TREATED BY SUTURE BUTTON FIXATION WITH BONE OCCLUSION, 1 PATIENT HAD A CORACOIDAL PROCESS FRACTURE THAT OCURRED WHEN DRILLING ON THE AXE, THE DRILLED BONE TUNNEL WAS NOT AF THE CENTER OF THE AXE AND THERE WAS OBVIOUS OSTEOPOROSIS, WHICH LED TO THE SPLITTING OF THE AXE BONE BLOCK DURING A SUTURE BUTTON FIXATION WITH BONE OCCLUSION PROCEDURE USING AN ENDOBUTTON DEVICE. AFTER EXPLORATION, IT WAS CONSIDERED TO BE FIXED AND STABLE, AND CONSERVATIVE REHABILITATION TREATMENT WAS GIVEN WITH GOOD EFFECT. NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2273372 UNKN DOUBLE ENDOBUTTON DEV FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE MBI SMITH & NEPHEW, INC. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| O