FDA Adverse Event Malfunction Summary report: N

GRYPHON ORTHOCORD

MDR report key: 25020001 · Received April 28, 2026

Report

Report Number
1221934-2026-01733
Event Type
Malfunction
Date Received
April 28, 2026
Date of Event
April 20, 2026
Manufacturer
DEPUY MITEK LLC US
Product Code
MAI
UDI-DI
10886705001279
PMA / PMN Number
EXEMPT
Removal / Correction Number
N/A
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

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. H11. ADDITIONAL NARRATIVE: AS OF THIS DATE, THE DEVICE HAS NOT BEEN RETURNED FOR EVALUATION; THEREFORE, THE REPORTED CONDITION CANNOT BE CONFIRMED AND/OR DUPLICATED, AND NO CONCLUSION CAN BE DRAWN AT THIS TIME. THE PRODUCT HAS NOT RETURNED TO DEPUY SYNTHES; HOWEVER, A PHOTO WAS PROVIDED FOR EVALUATION. VISUAL INSPECTION OF THE RETURNED PHOTO FOUND THAT THE DEVICE HAD THE ANCHOR DETACHED FROM THE SHAFT AND IT WAS BROKEN. NO OTHER ANOMALIES WERE NOTED. THE OVERALL COMPLAINT WAS CONFIRMED AS THE OBSERVED CONDITION OF GRYPHON P BR DS ANCHOR W/OC WOULD HAVE CONTRIBUTED TO THE COMPLAINED DEVICE ISSUE. BASED ON THE INVESTIGATION FINDINGS, THE POSSIBLE ROOT CAUSE CAN BE ASSOCIATED WITH OFF AXIS INSERTION AND LEVERING DURING INSERTION AND SUB-CONSEQUENTLY LED THE ANCHOR TO BREAK/DAMAGE. AS PER IFU-109363, 1) AXIAL MISALIGNMENT OR LEVERING WITH THE ANCHOR UPON INSERTION, MAY RESULT IN ANCHOR OR INSERTER FRACTURE. 2) APPLY TENSION (NORMAL FORCE) ON SUTURE LENGTHS, AS EXCESSIVE FORCE MAY OVERLOAD THE ANCHOR OR SUTURE. PROPERLY HANDLING AND ATTENTION TO THE APPROVED USE OF THE DEVICE DIMINISHES THE RISK OF FAILURE. IT HAS BEEN DETERMINED THAT NO CORRECTIVE AND/OR PREVENTATIVE ACTION IS PROPOSED. THERE IS NO INDICATION THAT A DESIGN OR MANUFACTURING ISSUE HAS CAUSED THE REPORTED COMPLAINT CONDITION. AS PART OF DEPUY SYNTHES QUALITY PROCESS, ALL DEVICES ARE MANUFACTURED, INSPECTED, AND RELEASED TO APPROVED SPECIFICATIONS. ADDITIONAL MONITORING FOR ANY POTENTIAL SAFETY SIGNALS WILL BE CONDUCTED THROUGH COMPLAINT TRENDING AND OTHER POST-MARKET SAFETY SURVEILLANCE ACTIVITIES. DOCUMENT SPECIFICATION REVIEW: IFU-109363. DEVICE HISTORY LOT: PN: 210813. LOT NUMBER: 10694E. THERE WAS NO NON-CONFORMANCE REGARDING THIS LOT. MANUFACTURING DATE: 06 FEB 2025. EXPIRATION DATE: 31 JAN 2028. E1: THE REPORTER¿S COMPLETE FACILITY ADDRESS WAS NOT PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN UNSPECIFIED ARTHROSCOPIC PROCEDURE THAT THE GRYPHON P BR DS ANCHOR W/OC DEVICE BROKE. ALL BROKEN PARTS WERE REMOVED. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
173366 GRYPHON ORTHOCORD FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE MAI DEPUY MITEK LLC US 10694E 10886705001279

Patients

Seq Age Sex Outcome Treatment
1