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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 Break (1069)
Health Effect - Clinical Codes Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/03/2025
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
On 03 february 2025, it was reported by a sales representative via email that an ar-2324bcc-1 bio-comp swvlk c, cld 4.75x19.1mm was reported to have failed during use.This occurred on (b)(6) 2025 in (b)(6) centre during a rotator cuff repair.It was reported that customer was inserting the implant into a medial row rotator cuff repair when the inserter disengaged prematurely.Leaving the eyelet in the pre-made hole, but the retention suture remaining in the insertion handle.Upon closer inspection, the eyelet component had snapped where it met the retention suture.The eyelet was retrieved and discarded along with the faulty inserter and anchor.A new one was inserted without issue.The case was completed successfully using a new anchor.There was case involvement.
 
Additional Manufacturer Narrative
Additional information: g3, h3, h6 the device was not returned for evaluation, and the method of bone preparation employed during the procedure and the bone quality encountered were not provided.However, based on the information provided which may include the device (if available and returned), pictures, videos, event description, and any additional information from the field, arthrex was able to conclude a most likely cause.The most likely cause for the reported failure can be attributed to improper bone prep; misaligned insertion; prying/leveraging the device during insertion.
 
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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 Key21363834
Report Number1220246-2025-00396
Device Sequence Number8464830
Product Code MAI
UDI-Device Identifier00888867097988
UDI-Public00888867097988
Combination Product (Y/N)N
Initial Reporter CountryNZ
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) 05/27/2025
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 Number315251277
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/03/2025
Supplement Date Received by Manufacturer05/09/2025
Initial Report FDA Received Date02/12/2025
Supplement Report FDA Received Date05/27/2025
Was Device Evaluated by Manufacturer? (Y/N) No
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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