MICROFIX QA+#3/0 OC V-4
Report
- Report Number
- 1221934-2026-00728
- Event Type
- Malfunction
- Date Received
- February 13, 2026
- Date of Event
- February 4, 2026
- Manufacturer
- DEPUY MITEK LLC US
- Product Code
- MAI
- UDI-DI
- 10886705002481
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY DEPUY SYNTHES, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, DEPUY SYNTHES, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.
IT WAS REPORTED THAT DURING LIGAMENT REPAIR SURGERY THREE (3) MICROFIX QA+#3/0 OC V-4 BROKE DURING USE. THE FIRST DEVICE BROKE OFF. A SECOND SUTURE WAS USED AND THE ANCHOR BROKE OFF. A THIRD SUTURE WAS USED AND THE ANCHOR BROKE OFF AGAIN. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED. THIS IS REPORT 2 OF 3 FOR THE SAME EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 273488 | MICROFIX QA+#3/0 OC V-4 | FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE | MAI | DEPUY MITEK LLC US | 1024GG | 10886705002481 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |