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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. BTB TIGHTROPE; SMOOTH FIXATION PIN

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ARTHREX, INC. BTB TIGHTROPE; SMOOTH FIXATION PIN Back to Search Results
Model Number BTB TIGHTROPE
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/29/2022
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was not returned for evaluation; no pictures were provided.The most likely cause for the reported failure can be attributed to user error of the device due to excessive force being used when tensioning the sutures; however, due to the device not being returned, we are unable to confirm the reported event.
 
Event or Problem Description
On 11/30/2022, it was reported by a sales representative via phone that an ar-1588btb btb tightrope suture broke during tensioning.This was discovered during an acrl procedure on (b)(6) 2022.Case was completed by removing all broken fragments and using another ar-1588btb btb tightrope.
 
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Brand Name
BTB TIGHTROPE
Common Device Name
SMOOTH FIXATION PIN
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer Contact
emily shafer
8009337001
MDR Report Key18492813
Report Number1220246-2024-00277
Device Sequence Number12559873
Product Code HTY
UDI-Device Identifier00888867019515
UDI-Public00888867019515
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
K112990
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date (Section B) 01/11/2024
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 Model NumberBTB TIGHTROPE
Device Catalogue NumberAR-1588BTB
Device Lot Number14914954
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/30/2022
Initial Report FDA Received Date01/11/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/14/2022
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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