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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. ACL TIGHTROPE RT; PIN, FIXATION, SMOOTH

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ARTHREX, INC. ACL TIGHTROPE RT; PIN, FIXATION, SMOOTH Back to Search Results
Model Number ACL TIGHTROPE RT
Device Problem Material Split, Cut or Torn (4008)
Patient Problem Insufficient Information (4580)
Event Date 11/17/2021
Event Type  malfunction  
Event Description
It was reported that during an anterior cruciate ligament knee surgery the tightrope tore when the strap was pulled in.The surgeon reported that there was no harm for patient, operator or third party.The surgery was finished successfully with a new device with the same part number.It was not necessary to switch the surgical technique or do a second surgery.
 
Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
 
Event Description
It was reported that during an anterior cruciate ligament knee surgery the tightrope tore when the strap was pulled in.The surgeon reported that there was no harm for patient, operator or third party.The surgery was finished successfully with a new device with the same part number.It was not necessary to switch the surgical technique or do a second surgery.
 
Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
 
Manufacturer Narrative
Complaint allegation was confirmed.Visual inspection identified that the blue suture construct had broken.One end had the suture frayed.Other section of the suture was not returned.No damaged was observed at the white suture or loop, as well to the button.The cause of this event is undetermined; however, most possible cause is user applied mechanical forces or contact with sharp objects during use, leading to the breakage observed during inspection.
 
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Brand Name
ACL TIGHTROPE RT
Type of Device
PIN, FIXATION, SMOOTH
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
vik bajnath
8009337001
MDR Report Key13053877
MDR Text Key285393779
Report Number1220246-2021-04130
Device Sequence Number1
Product Code HTY
UDI-Device Identifier00888867019553
UDI-Public00888867019553
Combination Product (y/n)N
Reporter Country CodeGM
PMA/PMN Number
K112990
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative
Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date 02/11/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberACL TIGHTROPE RT
Device Catalogue NumberAR-1588RT
Device Lot Number12930062
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received 11/30/2021
Initial Date FDA Received12/21/2021
Supplement Dates Manufacturer Received11/30/2021
Supplement Dates FDA Received02/11/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured03/17/2021
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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