FDA Adverse Event Other Summary report: N

OPUS SMARTSTITCH M-CONNECTOR

MDR report key: 2214027 · Received August 3, 2011

Report

Report Number
2032380-2011-00072
Event Type
Other
Date Received
August 3, 2011
Date of Event
June 24, 2011
Report Date
August 3, 2011
Manufacturer
ARTHROCARE CORP.
Product Code
KOG
PMA / PMN Number
K022229
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS REPORTED AS RETURNING FOR INVESTIGATION. TO DATE THE DEVICE HAS NOT BEEN RETURNED. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION AND LOT HISTORY REVIEW ARE COMPLETED. THE SEVEN ADDITIONAL DEVICES USED IN THIS SAME PROCEDURE WERE FILED UNDER MDR 2032380-2011-00070, 2032380-2011-00071, 2032380-2011-00073, 2032380-2011-00074, 2032380-2011-00075, 2032380-2011-00076, AND 2032380-2011-00077. REF: ARTHROCARE RMA 10025752.

Description of Event or Problem · 1

IT WAS REPORTED TO ARTHROCARE THAT A PT UNDERWENT A SHOULDER ARTHROSCOPY PROCEDURE AND RCR REPAIR USING FOUR OPUS SMARTSTITCH M-CONNECTORS, THREE OPUS SMARTSTITCH SUTURE CARTRIDGES AND ONE OPUS SMARTSTITCH SUTURE DEVICE HANDLE. ALLEGEDLY, THE SMARTSTITCH SUTURE DEVICE HANDLE BROKE THE M-CONNECTORS AND SUTURE CARTRIDGES DURING THE SURGERY. THE PHYSICIAN REVERTED TO A MINI OPEN TO COMPLETE THE SURGERY. THE SURGERY RESULTED IN A 45 MINUTES DELAY. NO ADVERSE REACTIONS TO THE PT AND NO PT INJURY WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OPUS SMARTSTITCH M-CONNECTOR ENDOSCOPE AND ACCESSORIES KOG ARTHROCARE CORP. 1013630

Patients

Seq Age Sex Outcome Treatment
1 48 YR Other