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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY MITEK LLC US IDEAL SUTGRASPER 60 DEG *EA; SUTURE/NEEDLE PASSER, REUSABLE

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DEPUY MITEK LLC US IDEAL SUTGRASPER 60 DEG *EA; SUTURE/NEEDLE PASSER, REUSABLE Back to Search Results
Model Number 251723
Device Problem Material Twisted/Bent (2981)
Patient Problem Not Applicable (3189)
Event Date 01/10/2020
Event Type  malfunction  
Manufacturer Narrative
Device was used for treatment, not diagnosis.If information is obtained that was not available for the initial medwatch, a follow-up medwatch will be filed as appropriate.(b)(4).Investigation summary: two devices were received and inspected.Visual inspection on first device shows that the grasping wire loop was deformed/bent.It is possible that the bent condition the wire could contribute to the reported condition.For bent condition, the root cause of this failure can be attributed to user technique, excessive force applied.Upon testing, the slider of the device was pushed to the various positions, and the grasping wire would extend slight and would not retract back in tube as intended.It seems like the grasping wire was separated or internal component got broke.This condition could also contribute to the reported condition.The complaint can be confirmed for the first device.From past failure investigations, it was observed that the grasping wire was separated from the slider which is likely due to inadequate fixation of the proximal end of the wire (hypotube) with the set screw during the manufacturing process.The set screw provides the connection between the slider and grasping wire.This failure was evaluated via nr-0107408 and pia 1317437.The full investigation and root cause will be documented via (b)(4).Visual inspection on the second device shows that the grasping wore looks good in shape.Upon testing, the slider of the device was pushed to the various positions, and the grasping wire was extending or retracting as intended.Hence, the complaint cannot be confirmed for the second device as no defect was noticed.The overall complaint can be confirmed since one of the devices shows defect.No anomalies were visually observed on the exterior of the devices.A manufacturing record evaluation was reviewed, no non-conformances were identified for the reported part 251723- lot 5l13598 number combination.At this point in time no further action is warranted.Depuy mitek will continue to track any related complaints within this device family as a means of monitoring the extent with which this complaint is observed in the field.Device history review: a manufacturing record evaluation was reviewed, no non-conformances were identified for the reported part 251723- lot 5l13598 number combination.
 
Event Description
It was reported by the affiliate in (b)(6) that during an arcr (arthroscopic rotator cuff repair) surgical procedure, it was observed that the surgeon was not able to grasp the suture with the ideal sutgrasper 60 deg *ea.A second ideal sutgrasper 60 deg *ea was used with the same lot and again it failed to grasp.The procedure was completed using a replacement with a different lot number.No patient consequence was reported, however there was a surgical delay of less than 30 minutes.There was a delay in the surgical procedure.There was a spare device available for use to complete the surgery.There was patient involvement.There were no reports of injuries, medical intervention or prolonged hospitalization.During in-house engineering evaluation, it was determined that the grasping wire loop on the device was deformed/bent.All available information has been disclosed.If additional information should become available, a supplemental medwatch will be submitted accordingly.
 
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Type of Device
SUTURE/NEEDLE PASSER, REUSABLE
Manufacturer (Section D)
DEPUY MITEK LLC US
325 paramount drive
raynham MA 02767
Manufacturer (Section G)
DEPUY MITEK LLC US
325 paramount drive
raynham MA 02767
Manufacturer Contact
kara ditty-bovard
325 paramount drive
raynham, MA 02767
6013142063
MDR Report Key9820089
MDR Text Key208113096
Report Number1221934-2020-00828
Device Sequence Number1
Product Code NBH
UDI-Device Identifier10886705012312
UDI-Public10886705012312
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other
Type of Report Initial
Report Date 03/06/2020
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 Number251723
Device Catalogue Number251723
Device Lot Number5L13598
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/24/2020
Initial Date Manufacturer Received 03/06/2020
Initial Date FDA Received03/11/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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