FDA Adverse Event
Malfunction
Summary report: N
SPEEDSCREW 5.5 IMPLANT WITH INSERTER HANDLE
MDR report key: 2921910
·
Received January 15, 2013
Report
- Report Number
- 3006524618-2013-00036
- Event Type
- Malfunction
- Date Received
- January 15, 2013
- Date of Event
- December 14, 2012
- Report Date
- December 14, 2012
- Manufacturer
- ARTHROCARE CORPORATION
- Product Code
- HWC
- PMA / PMN Number
- K081893
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING AN ACHILLES TENDON REPAIR USING THE OPUS SPEEDSCREW IMPLANT, THE IMPLANT BROKE OFF AS IT WAS BEING THREADED INTO THE BONE. THE IMPLANT WAS REMOVED AND THE PROCEDURE WAS COMPLETED USING A COMPETITOR'S DEVICE. THERE WERE NO SIGNIFICANT DELAYS OR PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 22963 | SPEEDSCREW 5.5 IMPLANT WITH INSERTER HANDLE | FIXATION ANCHOR, LIGAMENT, NON-BIODEGRADABLE | HWC | ARTHROCARE CORPORATION | 1028336 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |