FDA Adverse Event Malfunction Summary report: N

MITEK BIOKNOTLESS RAPIDE (BR) W/PANACRYL

MDR report key: 3122798 · Received May 21, 2013

Report

Report Number
1221934-2013-00139
Event Type
Malfunction
Date Received
May 21, 2013
Date of Event
April 24, 2013
Report Date
April 24, 2013
Manufacturer
DEPUY MITEK
Product Code
MAI
PMA / PMN Number
K070925
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

WE RECEIVED TWO COMPLAINT DEVICES, WHICH WERE VISUALLY EVALUATED, BOTH WITH THE NAKED EYE AND UNDER MAGNIFICATION. THE COMPLAINT STATES THAT A PORTION OF THE DISTAL TIPS OF 2 INSERTERS BROKE OFF DURING THE SURGERY; HOWEVER, ONLY 1 OF THE 2 DEVICES ARE IN THAT CONDITION. IN OTHER WORDS, 1 DEVICE HAS A PORTION OF ITS DISTAL TIP BROKEN AND THE OTHER IS INTACT, NO DAMAGE AND NO ANOMALIES. BOTH DEVICES ARE OF THE SAME LOT: A BATCH RECORD REVIEW HAS BEEN CONDUCTED TO DETERMINE IF THERE WERE ANY INTERNAL PROCESSING ISSUES WHICH WOULD HAVE CONTRIBUTED TO THE NATURE OF THE PRODUCT COMPLAINT, OUR RESULTS INDICATE THAT THIS BATCH OF PRODUCT WAS PROCESSED WITHOUT INCIDENT AND THEREFORE THERE IS NO INTERNALLY ASSIGNABLE CAUSE FOR THE REPORTED PROBLEM. FURTHER, A REVIEW INTO THE MITEK COMPLAINTS SYSTEM REVEALED NO OTHER SIMILAR COMPLAINTS FOR THIS LOT OF DEVICES THAT WERE RELEASED TO DISTRIBUTION. WE CANNOT TELL ANYTHING FROM THIS; OUTSIDE OF THE FOLLOWING HYPOTHESIS WE CANNOT DISCERN ANY OTHER ROOT FOR THE REPORTED ISSUE: THIS TYPE OF FAILURE HAS HISTORICALLY BEEN ATTRIBUTED TO USER TECHNIQUE. FROM AN ENGINEERING PERSPECTIVE, DAMAGE TO THE INSERTER, ¿TIP BREAKAGE¿ OR ¿SHAFT BENDING¿, MAY HAVE BEEN CAUSED BY OFF-ANGLE OR OFF AXIS INSERTION INTO THE BONE HOLE. OFF ANGLE/AXIS INSERTION IS THE MOST LIKELY CAUSE FOR THE INSERTER DISTAL TIP FAILURE, USUALLY THE RESULT OF BENDING AND/OR TWISTING THE ANCHOR DURING DEPLOYMENT DUE TO ANCHOR / BONE HOLE MISALIGNMENT. AT THIS POINT IN TIME, NO CORRECTIVE OR FURTHER ACTION IS WARRANTED, HOWEVER, THIS FILE WILL REMAIN RECEPTIVE TO ANY POTENTIAL FUTURE INFORMATION RECEIVED THAT IS RELATIVE AND GERMANE TO THIS ISSUE. ALSO, MITEK WILL CONTINUE TO TRACK ANY RELATED COMPLAINTS WITHIN THIS DEVICE FAMILY AS A MEANS OF MONITORING THE EXTENT WITH WHICH THIS COMPLAINT IS OBSERVED IN THE FIELD.

Additional Manufacturer Narrative · 1

MITEK IS AT THIS POINT IN TIME IN THE INFORMATION GATHERING MODE. WHEN ALL THAT CAN BE HAD, IS HAD AND THOROUGHLY INVESTIGATED AND EVALUATED, THOSE RESULTS WILL BE THE SUBJECT MATTER IN A FOLLOW-UP REPORT. AWAITING RETURN.

Additional Manufacturer Narrative · 1

MITEK IS AT THIS POINT IN TIME IN THE INFORMATION GATHERING MODE. WHEN ALL THAT CAN BE HAD, IS HAD AND THOROUGHLY INVESTIGATED AND EVALUATED, THOSE RESULTS WILL BE THE SUBJECT MATTER IN A FOLLOW-UP REPORT. AWAITING RETURN.

Description of Event or Problem · 1

OUR AFFILIATE IS REPORTING TO US THAT DURING AN ARTHROSCOPIC SHOULDER PROCEDURE A PORTION OF THE DISTAL TIPS OF TWO BIOKNOTLESS INSERTER DEVICES BROKE OFF INTO THEIR ANCHORS WHILST THE SURGEON WAS DEPLOYING THE ANCHORS INTO THE BONE HOLES. THE FRAGMENTS REMAIN IN THE ANCHORS WHICH ARE SECURED INTO THE BONE HOLES. THE COMPLETED THE REPAIR WITHOUT FURTHER ISSUE OR HARM TO THE PATIENT.

Description of Event or Problem · 1

OUR AFFILIATE IS REPORTING TO US THAT DURING AN ARTHROSCOPIC SHOULDER PROCEDURE A PORTION OF THE DISTAL TIPS OF TWO BIOKNOTLESS INSERTER DEVICES BROKE OFF INTO THEIR ANCHORS WHILST THE SURGEON WAS DEPLOYING THE ANCHORS INTO THE BONE HOLES. THE FRAGMENTS REMAIN IN THE ANCHORS WHICH ARE SECURED INTO THE BONE HOLES. THE COMPLETED THE REPAIR WITHOUT FURTHER ISSUE OR HARM TO THE PATIENT. ALSO SEE ASSOCIATED MDR 1221934-2013-00141.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
224986 MITEK BIOKNOTLESS RAPIDE (BR) W/PANACRYL SOFT TISSUE FIXATION DEVICE MAI DEPUY MITEK NA 3646473

Patients

Seq Age Sex Outcome Treatment
1