FDA Adverse Event Injury Summary report: N

UNKN SUTUREFIX ANCHOR

MDR report key: 22636242 · Received July 28, 2025

Report

Report Number
1219602-2025-01886
Event Type
Injury
Date Received
July 28, 2025
Report Date
July 28, 2025
Manufacturer
SMITH & NEPHEW, INC.
Product Code
MBI
PMA / PMN Number
K122059
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INTERNAL COMPLAINT REFERENCE (B)(4). ARTICLE: KIM, H., PARK, J., JEON, I. H., & KOH, K. H. (2024). COMPARISON OF CLINICAL EFFICACY BETWEEN RECONSTRUCTION OF THE SUPERIOR ACROMIOCLAVICULAR LIGAMENT WITH ACELLULAR DERMAL ALLOGRAFTS AND CLAVICULAR HOOK PLATE IN ACROMIOCLAVICULAR DISLOCATIONS. INJURY, 55(12), 111951. H11 H3, H6: 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 "COMPARISON OF CLINICAL EFFICACY BETWEEN RECONSTRUCTION OF THE SUPERIOR ACROMIOCLAVICULAR LIGAMENT WITH ACELLULAR DERMAL ALLOGRAFTS AND CLAVICULAR HOOK PLATE IN ACROMIOCLAVICULAR DISLOCATIONS", 1 PATIENT HAD CLAVICULAR EROSION 3 MONTHS AFTER AN SUPERIOR ACROMIOCLAVICULAR LIGAMENT RECONSTRUCTION PROCEDURE USING A 1.9MM SUTURFIX CURVED AND A 2.8MM Q-FIX DEVICE. IT IS UNKNOWN HOW WAS THE PATIENT TREATED. PATIENT OUTCOME IS UNKNOWN. NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1653057 UNKN SUTUREFIX ANCHOR FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE MBI SMITH & NEPHEW, INC. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 53 YR Male Other UNKN04400300