FDA Adverse Event Other Summary report: N

OPUS MAGNUM2 IMPLANT KNOTLESS FIXATION DEVICE

MDR report key: 2020248 · Received March 10, 2011

Report

Report Number
2032380-2011-00024
Event Type
Other
Date Received
March 10, 2011
Date of Event
January 27, 2011
Report Date
March 11, 2011
Manufacturer
ARTHROCARE CORP
Product Code
MBI
PMA / PMN Number
K042914
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

PT'S AGE AND GENDER WAS REQUESTED, BUT TO DATE INFO HAS NOT BEEN PROVIDED. IT WAS REPORTED THAT THE DEVICE WILL NOT BE RETURNED FOR INVESTIGATION, AS IT WAS DISPOSED OF BY THE HOSPITAL. A FOLLOW-UP REPORT WILL BE PROVIDED ONCE THE DEVICE LOT HISTORY REVIEW IS COMPLETED. TWO ADDITIONAL DEVICES WERE USED IN THE SAME PROCEDURE AND WERE FILED UNDER MDR 2032380-2011-00025, AND 2032380-2010-00026. (B)(4).

Description of Event or Problem · 1

ON (B)(6) 2011, A CLINICAL INCIDENT WAS REPORTED TO ARTHROCARE INVOLVING THREE OPUS MAGNUM2 IMPLANTS. ALLEGEDLY ON ALL DEVICES, THE SNARE BROKE AS THE SUTURE WAS BEING REELED INTO THE IMPLANT. ON (B)(6) 2011, IT WAS REPORTED THAT THE CUSTOMER UNDERWENT A PROCEDURE TO REATTACH THE PECTORALIS MAJOR TO THE HUMERAL HEAD. DUE TO THE SNARE BREAKAGE, THE PROCEDURE WAS EXTENDED BY APPROXIMATELY 25 TO 30 MINUTES. THE PROCEDURE WAS COMPLETED WITH NO ADVERSE REACTIONS TO THE PT AND NO PT INJURY. ADDITIONALLY, ON (B)(6) 2011, IT WAS REPORTED THAT PROCEDURE TOOK PLACE ON (B)(6) 2011. PROCEDURE WAS ORIGINALLY A FULL OPEN PROCEDURE AND NO ADDITIONAL INCISIONS WERE REQUIRED AS A RESULT OF THE ALLEGED SNARE BREAKAGE. THE PT WAS REPORTED AS RECOVERING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OPUS MAGNUM2 IMPLANT KNOTLESS FIXATION DEVICE FASTENER, FIXATION, NONDEGRADABLE, SOFT MBI ARTHROCARE CORP 1003533

Patients

Seq Age Sex Outcome Treatment
1 Other