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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. UNKN SUTUREFIX ANCHOR; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE

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SMITH & NEPHEW, INC. UNKN SUTUREFIX 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 Joint Laxity (4526); Unspecified Tissue Injury (4559)
Event Date 04/01/2023
Event Type  Injury  
Event Description
It was reported that on literature review the arthroscopic trillat procedure is a valuable treatment option for recurrent anterior instabilityin young athletes with shoulder hyperlaxity, 2 patients had a recurrence of anterior instability after an arthroscopic trillat procedure using a suture anchor.Patients required a revision latarjet procedure because of preoperative underestimation of glenoid bone loss.After its osteotomy, the coracoid process was passed through the subscapularis and fixed with cortical buttons.At last review, these 2 patients had a stable shoulder and could return to sports.No further information is available.
 
Manufacturer Narrative
Internal complaint reference (b)(4).H10: 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.
 
Manufacturer Narrative
Internal complaint reference: (b)(4).
 
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Brand Name
UNKN SUTUREFIX 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 Key16940928
MDR Text Key315318512
Report Number1219602-2023-00703
Device Sequence Number1
Product Code MBI
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K122059
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Literature,Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date 09/14/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
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
Initial Date Manufacturer Received 04/25/2023
Initial Date FDA Received05/16/2023
Supplement Dates Manufacturer Received09/12/2023
Supplement Dates FDA Received09/14/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
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;
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