FDA Adverse Event Injury Summary report: N

SUTR ANCHOR ALL-SUTR 1.4MM STRL KIT

MDR report key: 23682355 · Received December 1, 2025

Report

Report Number
3008650117-2025-00014
Event Type
Injury
Date Received
December 1, 2025
Date of Event
November 5, 2025
Report Date
June 1, 2026
Manufacturer
PARAGON 28
Product Code
GAT
UDI-DI
00889795114280
PMA / PMN Number
K211002
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). D10: SUTR ANCHOR ALL-SUTR 1.4MM STRL KIT CAT #: P44-210-0014-SK LOT #: 5010540. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN ORTHOPEDIC PROCEDURE 2 INSTRUMENT FRACTURED, AND THE DEBRIS REMAINS IN THE PATIENT WITH NO KNOWN IMPACT OR CONSEQUENCE REPORTED AT THE TIME OF THE EVENT. NO ADDITIONAL PATIENT TREATMENT BEYOND INTRAOPERATIVE IMAGING AND RETRIEVAL ATTEMPTS WAS REPORTED. THERE WERE NO KNOWN COMPLICATIONS REPORTED AT THE TIME, AND NO IMMEDIATE REVISION WAS REPORTED. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2149523 SUTR ANCHOR ALL-SUTR 1.4MM STRL KIT SUTURE, NONABSORBABLE, SYNTHETIC, POLYETHYLENE GAT PARAGON 28 5010540 00889795114280

Patients

Seq Age Sex Outcome Treatment
1 53 YR Female Other SEE H11 NARRATIVE