MAUDE Adverse Event Report: ARTHREX, INC. IMPL SYS, ALLOGRAFT GRAFTLINK CP; PIN, FIXATION, SMOOTH

Model Number IMPL SYS, ALLOGRAFT GRAFTLINK CP

Device Problem Positioning Failure (1158)

Patient Problem Failure of Implant (1924)

Event Date 02/06/2020

Event Type  Injury  

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.

Event Description

It was reported during an acl procedure that the femoral end of the fglts09575 flexigraft graftlink graft was received sutured poorly according to the surgeon and rep.The bulky, femoral side was visually a concern (see attached pictures) before it physically became such a problem that the graft had to be removed from the patient's joint, trimmed down, and reattached to a new tightrope.This added 1.5/2 hours to the case, and quite a bit of frustration.A 9.5 x 75 fglts was ordered, approximately 9 (tib)/ 10(fem) x 77 was received.The rep reported the tib side was great.The fem side had a suture bulk sticking out of one side.The rep stated it wasn¿t that the graft wasn't perfectly 9.5 x 75, it was that the suturing of the femoral side was done poorly.There was also a bulk of suture that the surgeon could not seat into the crotch that caused a lot of frustration.The reported issues were noticeable immediately after thawing.Additional information received on 02/10/2020: the rep reported in addition to prolonged anesthesia the patient also underwent additional tourniquet time.The graft was successfully implanted during the second implantation attempt.The rep reported some planned incisions were extended.The lateral incision where the tightrope button sat, had to be extended to remove the tightrope.Additional information has been requested.Additional information received on 02/11/2020: the rep reported the tightrope (ar-1588btb) did not malfunction, and had to be removed from the patient due to the issue with the graft.Originally a small poke hole skin incision was needed for the flipcutter drill guide to drill the lateral femoral condyle.That incision had to be extended to about 2cm to allow for retractors so the surgeon could find and remove the original tightrope that was a component of ar-1588al-cp (lot: 10429237).The replacement tightrope that is in the patient is ar-1588btb (lot: 10420685).Additional information received on 02/12/2020: the rep reported the procedure was an initial surgery.A single x-ray was taken to confirm the first attempt tightrope button was seated properly on the lateral cortex, which it was.Shortly after, the graft in question became a problem and had to be removed.When the lateral incision was extended, there was no need to use fluoro a second time as the surgeon had direct visualization to confirm proper seating of the second attempt tightrope button.

• Brand Name: IMPL SYS, ALLOGRAFT GRAFTLINK CP
• 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 Key: 9756015
• MDR Text Key: 192714303
• Report Number: 1220246-2020-01722
• Device Sequence Number: 1
• Product Code: HTY
• UDI-Device Identifier: 00888867200654
• UDI-Public: 00888867200654
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K112990
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,distri
• Reporter Occupation: Administrator/Supervisor
• Type of Report: Initial
• Report Date: 02/26/2020

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 Model Number: IMPL SYS, ALLOGRAFT GRAFTLINK CP
• Device Catalogue Number: AR-1588AL-CP
• Device Lot Number: 10429237
• Was Device Available for Evaluation?: No
• Initial Date Manufacturer Received: 02/11/2020
• Initial Date FDA Received: 02/26/2020
• Date Device Manufactured: 10/28/2019
• Is the Device Single Use?: Yes
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Outcome(s): Other