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 |