SMITH & NEPHEW, INC. TWINFIX ULTRA PK 4.5MM W/2 UB -WHT &BL; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE
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Model Number 72202595 |
Device Problem
Manufacturing, Packaging or Shipping Problem (2975)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 03/12/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Internal complaint reference (b)(4).
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Event Description
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It was reported that, during a shoulder rotator cuff repair, the twinfix ultra pk sterilization package was found damaged before opening.The procedure was completed with a backup device with no delay nor patient injury.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
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Manufacturer Narrative
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H10, 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.An analysis of the customer provided images revealed that the device packaging had already been opened and the device had been taken out.It could not be determined if the opening occurred at the customer site or prior to arrival.A visual inspection revealed that the device had already been opened.The seals that had not yet been opened were inspected and found to meet standards.The ones that had been peeled away already had all appropriate markings for seals and no indications of failure.There were no cuts or improper pouch openings.There was some debris and fibers within the bag and on the handle, likely due to the device being opened.A review of the device records showed there were no indications to suggest that the product did not meet manufacturing specification or would not be able to perform as intended.A complaint history review concluded this was an isolated event.The complaint was confirmed, but the root cause could not be established, as investigation could not determine whether the opening occurred at the customer site or prior to arrival.
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