It was reported that an acl fiber tag tight rope implant was used in a quadriceps tendon surgery.After inserting the needle into the tendon, the surgeon only had the needle in his hand without the suture.Upon examination, it appeared that the suture slipped out the back of the needle because it was not properly secured.According to the surgeon no harm for patient, operator or third party occurred.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.
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