FDA Adverse Event Other Summary report: N

SPEEDSCREW 5.5 IMPLANT WITH INSERTER HANDLE

MDR report key: 2101195 · Received May 19, 2011

Report

Report Number
2032380-2011-00055
Event Type
Other
Date Received
May 19, 2011
Date of Event
April 19, 2011
Report Date
May 19, 2011
Manufacturer
ARTHROCARE CORP.
Product Code
HWC
PMA / PMN Number
K081893
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

A VISUAL INSPECTION OF THE DEVICE WAS PERFORMED. THE DEVICE WAS RECEIVED DEPLOYED. COBRAID MAGNUMWIRE WAS RECEIVED REELED THROUGH AND THE SUTURE ENDS WERE FOUND BROKEN/SHREDDED. BASED ON THE OBSERVATIONS, IT'S BELIEVED THAT THE SUTURE WAS OVER TENSIONED, WHICH CAUSED THE SUTURE TO BREAK. THE ANCHOR WAS NOT RETURNED THEREFORE IT CAN'T BE INSPECTED. A LOT HISTORY REVIEW WAS ALSO PERFORMED. NO ABNORMALITIES WERE FOUND THAT WERE RELATED TO THE PRODUCT PROBLEM. THE ROOT CAUSE OF THE PRODUCT PROBLEM WAS DETERMINED TO BE FROM EXCESSIVE TENSIONING (OVER TENSIONING THE SUTURE) OR FORCE. THE SECOND DEVICE USED IN THE PROCEDURE WAS FILED UNDER MDR 203280-2011-00054. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED TO ARTHROCARE THAT A PATIENT UNDERWENT AN ARTHROSCOPIC ROTATOR CUFF REPAIR PROCEDURE USING TWO OPUS SPEEDSCREW 5.5 IMPLANTS. ALLEGEDLY, ONE OF THE IMPLANTS DID NOT DEPLOY AND LOCK THE SUTURE. THE SURGEON LOST VISUALIZATION OF THE SECOND IMPLANT AND REVERTED TO A MINI-OPEN PROCEDURE TO COMPLETE THE REPAIR. THE SURGERY WAS COMPLETED WITHOUT FURTHER INCIDENT AND WITHOUT PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPEEDSCREW 5.5 IMPLANT WITH INSERTER HANDLE FASTENER, FIXATION, NONDEGRADABLE, SOFT HWC ARTHROCARE CORP. 1014870

Patients

Seq Age Sex Outcome Treatment
1 46 YR Other