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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. UNKNOWN PEEK SUTURE ANCHOR; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE

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SMITH & NEPHEW, INC. UNKNOWN PEEK SUTURE ANCHOR; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE Back to Search Results
Catalog Number UNKNOWN
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Pain (1994); Fluid Discharge (2686); Skin Inflammation/ Irritation (4545); Alteration in Body Temperature (4568)
Event Date 08/01/2022
Event Type  Injury  
Manufacturer Narrative
H10: internal complaint reference (b)(4).Article: khuntia, s.K., patro, b.P., sahu, s., & patel, b.K.(2022).Non-suppurative tissue reaction to polyether ether ketone anchor in rotator cuff repair.Journal of orthopaedic case reports, 12(8), 47.H3, h6: this complaint was opened by smith+nephew to document a patient complication identified through a review of clinical evidence from literature sources that includes reference to the use of a smith nephew product.The reported issue(s) relate to known inherent procedural risks that are appropriately documented in our risk files.Smith+nephew will continue to monitor trends in accordance with our post-market surveillance process and take necessary action as required if anticipated severity and/or occurrence rates are exceeded.Smith+nephew has no reason to suspect that the product failed to meet any specifications at the time of manufacture.Based on our review of all currently available information, we are unable to confirm a relationship between the reported event and the device or identify a definitive root cause.However, as the use of our product cannot be excluded as a potential cause or contributory factor to the reported issue, we are conservatively submitting this report in accordance with applicable regulations.If additional information becomes available that alters the conclusions of this report, a follow-up report will be submitted as required.
 
Event Description
It was reported that on literature review non-suppurative tissue reaction to polyether ether ketone anchor in rotator cuff repair, 1 patient underwent a mini open rotator cuff repair with two(2) footprint pk suture anchors.The patient had pain and mild rise of local temperature over shoulder 3 weeks after the procedure.Nearly 3 months after operation, he presented with redness and serous discharge from stitch site and it was treated with an incision and drainage presuming all is not well.On incision, we found nearby muscles and soft-tissue healthy with collection of some pale-yellow semisolid substance near the screw site.Empirically, broad-spectrum antibiotic was administered.The patient was better than before but there was serous discharge from the stitch margin.Nearly 4 months after first operation, patient had another debridement under general anesthesia.It was found similar straw color semisolid inconsistency material near the screw site.Nearby, muscles were red, healthy, and contractile to stimulation.All the visible sutures and peek screw were removed.Patient improved from his symptoms and wound healed normally.No further information is available.
 
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Brand Name
UNKNOWN PEEK SUTURE ANCHOR
Type of Device
FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE
Manufacturer (Section D)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
Manufacturer (Section G)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
Manufacturer Contact
holly topping
7000 west william cannon drive
austin, TX 78735
5123913905
MDR Report Key18907764
MDR Text Key337731246
Report Number1219602-2024-00494
Device Sequence Number1
Product Code MBI
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
K093897
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Study,Literature,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 03/14/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/14/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberUNKNOWN
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/19/2024
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other; Required Intervention;
Patient Age58 YR
Patient SexMale
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