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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. BIO-COMP SWVLK C, CLD 4.75X19.1MM; BIO SOFT TISSUE FIXATN FASTNR

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ARTHREX, INC. BIO-COMP SWVLK C, CLD 4.75X19.1MM; BIO SOFT TISSUE FIXATN FASTNR Back to Search Results
Model Number BIO-COMP SWVLK C, CLD 4.75X19.1MM
Medical Device Problem Code Physical Resistance/Sticking (4012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/29/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
Event or Problem Description
It was reported that during a knee surgery the screw jammed and it was impossible to install.Per complaint reporter there was no harm for patient, operator or third party.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.
 
Additional Manufacturer Narrative
Additional information: g3, h3, h6.Based on the information provided, which may include the device (if available and returned), pictures, videos, event descriptions, and any additional information from the field, arthrex concluded that the most likely cause of the reported failure is user error, specifically, the misalignment of the insertion or improper bone preparation.The complaint allegation was not confirmed.The device was not received for evaluation, and no evidence of the failure was provided.
 
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Brand Name
BIO-COMP SWVLK C, CLD 4.75X19.1MM
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 Key21026201
Report Number1220246-2024-09070
Device Sequence Number15714757
Product Code MAI
UDI-Device Identifier00888867097988
UDI-Public(01)00888867097988(11)240429(17)280331(10)15241060
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K203495
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 08/01/2025
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 SWVLK C, CLD 4.75X19.1MM
Device Catalogue NumberAR-2324BCC-1
Device Lot Number15241060
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/02/2024
Supplement Date Received by Manufacturer07/29/2025
Initial Report FDA Received Date12/27/2024
Supplement Report FDA Received Date08/01/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/29/2024
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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