It was reported that, during shoulder rotator cuff repair surgery using footprint ultra pk suture anchor, two anchors were found fractured, all broken pieces were extracted from the patient using tweezers.The malfunction was solved with a delay shorter than 30 minutes and no patient harm using a back up device.
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Internal complaint reference: (b)(4).H3, h6: the reported device, used in treatment, was received for evaluation.There was a relationship found between the returned device and the reported incident.A complaint history review concluded this was a repeat issue.A review of device records showed there were no indications to suggest that the product did not meet manufacturing specification upon release for distribution.The instructions for use was reviewed and found to include conditions of off label use and technique specifics, as well as precautions and warnings related to the use of the device.A review of risk management files found that the reported failure was documented appropriately.A review of the polymer found that the storage requirements, material specifications, and applicable tests were appropriately specified.A material certificate of analysis was required for the raw material.A review of the customer provided image found two deployed devices next to a bag with two pieces of fractured anchor inside.A visual inspection of the returned device found that it is not in its original packaging.The device has been deployed, and the anchor is fractured into two pieces.There is debris on the anchor and on the shaft of the device.Based on the condition of the product material found during visual inspection, additional material testing is not required.The complaint was confirmed.Factors that could have contributed to the reported event include excessive force on the device, excessive torque on the device, attempted correction of a damaged device, off-axis insertion, improper preparation of the insertion site, or an inadvertent impact event.Please refer to the instructions for use for recommendations on proper use of the device and potential troubleshooting methods to prevent future reoccurrence of the reported event.No containment or corrective actions are recommended at this time.
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