FDA Adverse Event Malfunction Summary report: N

PRESSFT

MDR report key: 3248833 · Received July 24, 2013

Report

Report Number
3248833
Event Type
Malfunction
Date Received
July 24, 2013
Date of Event
July 19, 2013
Report Date
July 24, 2013
Manufacturer
LINVATEC CORPORATION D/B/A CONMED LINVATEC
Product Code
MAI
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MD, US

Narratives

Description of Event or Problem · 1

SURGEON ATTEMPTED IMPLANT OF SUTURE ANCHOR 2 TIMES. BOTH TIMES THE ANCHOR BROKE. ALL COMPONENTS WERE RETRIEVED. ANOTHER SUTURE ANCHOR WAS USED AND CASE COMPLETED. NO HARM TO THE PATIENT.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?ARTHROSCOPY- KNEE.DEVICE #1IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.DEVICE #2IS THIS A LABORATORY DEVICE OR LABORATORY TEST?NO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
346888 PRESSFT FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE MAI LINVATEC CORPORATION D/B/A CONMED LINVATEC * 379258
346889 PRESSFT FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE MAI LINVATEC CORPORATION D/B/A CONMED LINVATEC * 379258

Patients

Seq Age Sex Outcome Treatment
1 26 YR