ARTHROCARE CORP. QFIX 1.8 MINI SUTURE ANCHOR; FASTENER, FIXATION, NONDEGRADABLE, SOFT TISSUE
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Model Number 72290123 |
Device Problems
Break (1069); Firing Problem (4011)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 06/09/2022 |
Event Type
Injury
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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 fibular collateral ligament repair procedure using a qfix suture anchor, when the anchor was inserted into the fibula hole, the knot could not be slid and the suture broke into pieces.It is unknown if there was a back-up device available or if there was a surgical delay.No further complications were reported.Further details are not available.
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Manufacturer Narrative
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H10: internal complaint reference: (b)(4).H3, h6: the reported device was received for evaluation.A visual evaluation showed the part was not received in any original packaging.The insertion tool was not returned.Two sutures were returned.One end of each suture is frayed with individual fibers at two different lengths which indicates use of a sharp instrument.The opposite end of the suture is factory cut.Based on the condition of the product material found during visual inspection, additional material testing is not required insufficient product identification information was provided and thus a manufacturing record review could not be conducted.Based on the information available, there were no indications to suggest that the product did not meet manufacturing specifications upon release for distribution.A complaint history review found similar reported events.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 risk management review found that the reported failure and/or harm was documented appropriately, and there were no indications to suggest the anticipated risk is not adequate.A review of the material specifications found the suture is tested for minimum and average suture strengths.A clinical review states an undated photo of the broken suture was provided for review and confirms the breakage.The patient's current condition is unknown and the patient impact beyond the reported events could not be determined based on the limited information provided.The root cause was associated with unintended use of the device.Factors that could have contributed to the reported event include excessive force or use of sharp instruments near the device.No containment or corrective actions are recommended at this time.
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