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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. SCR BIORCI 8X25MM STRL BX 1; SCREW, FIXATION, BONE

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SMITH & NEPHEW, INC. SCR BIORCI 8X25MM STRL BX 1; SCREW, FIXATION, BONE Back to Search Results
Model Number 7207560
Medical Device Problem Code Packaging Problem (3007)
Health Effect - Clinical Code No Known Impact Or Consequence To Patient (2692)
Date of Event 08/04/2020
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during acl surgery the biorci's secondary package/box didn´t contain the device inside, the packaging shows evidence of having suffered rupture.The procedure was completed without delay using a s+n backup device.No patient injury or other complications were reported.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
 
Additional Manufacturer Narrative
The device, which was used in a procedure, was not returned for evaluation.A relationship between the device and the reported incident could not be confirmed.A review of the manufacturing records found that there was no evidence that the product didn¿t meet specifications at the time of manufacture.A complaint history review found other related failures.Factors that are known to contribute to the alleged fault/failure may be shipping and handling damage.There were no indications that would suggest that the device did not meet product specifications upon release into distribution.If the product is returned in the future the complaint can be reopened and evaluated.
 
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Brand Name
SCR BIORCI 8X25MM STRL BX 1
Common Device Name
SCREW, FIXATION, BONE
Manufacturer (Section D)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
MDR Report Key10544613
Report Number1219602-2020-01406
Device Sequence Number13770700
Product Code HWC
UDI-Device Identifier03596010426222
UDI-Public03596010426222
Combination Product (Y/N)N
Initial Reporter CountryMX
PMA/510(K) Number
K992396
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source company representative,foreig
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 10/08/2020
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
Operator of Device Health Professional
Device Expiration Date10/04/2018
Device Model Number7207560
Device Catalogue Number7207560
Device Lot Number50762627
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/01/2023
Initial Date Received by Manufacturer 08/24/2020
Supplement Date Received by Manufacturer10/01/2020
Initial Report FDA Received Date09/16/2020
Supplement Report FDA Received Date10/08/2020
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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