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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. BIO-COMP INTERFSCRW CAN-DELTATPR 9X 35MM; BIO SOFT TISSUE FIXATN FASTNR

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ARTHREX, INC. BIO-COMP INTERFSCRW CAN-DELTATPR 9X 35MM; BIO SOFT TISSUE FIXATN FASTNR Back to Search Results
Model Number BIO-COMP INTERFSCRW CAN-DELTATPR 9X 35MM
Medical Device Problem Code Failure to Advance (2524)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/14/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during an anterior cruciate ligament surgery during insertion of the screw the first threads were turned off and the insertion was no longer possible.According to the surgeon no harm for patient, operator or third party occurred.The surgery was finished successfully with a new device with the same part number.It was not necessary to switch the surgical technique or do a second surgery.Update avoe 20-mar-2024: it was confirmed that all fragments were retrieved from the patient.
 
Additional Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
 
Additional Manufacturer Narrative
Additional information: g3, h3, h6.Based on the provided information, including the device (if available and returned), pictures, videos, event descriptions, and any additional field data, arthrex concluded that the most likely cause of the reported failure is user error, specifically improper bone preparation and applying excessive force during insertion.The complaint allegation was not confirmed as the device was not received for evaluation, and no evidence of the failure was provided.
 
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Brand Name
BIO-COMP INTERFSCRW CAN-DELTATPR 9X 35MM
Common Device Name
BIO SOFT TISSUE FIXATN FASTNR
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
jared engle
8009337001
MDR Report Key19067308
Report Number1220246-2024-01887
Device Sequence Number15141541
Product Code MAI
UDI-Device Identifier00888867035508
UDI-Public00888867035508
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
K071176
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 06/06/2025
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 NumberBIO-COMP INTERFSCRW CAN-DELTATPR 9X 35MM
Device Catalogue NumberAR-5035TC-09
Device Lot Number15129902
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/18/2024
Supplement Date Received by Manufacturer05/16/2025
Initial Report FDA Received Date04/08/2024
Supplement Report FDA Received Date06/06/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/17/2023
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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