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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDLINE RENEWAL DEPUY MITEK; EXPRESSEW¿ III SUTURE NEEDLE

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MEDLINE RENEWAL DEPUY MITEK; EXPRESSEW¿ III SUTURE NEEDLE Back to Search Results
Catalog Number 214141RH
Device Problem Break (1069)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 08/27/2019
Event Type  malfunction  
Manufacturer Narrative
It was reported that the tip of three reprocessed depuy mitek expressew¿ iii suture needles broke off during use in an unspecified orthopedic procedure.The tips were reportedly successfully retrieved by surgeon from the surgical site.Despite good faith efforts to obtain additional information, no further patient, product, procedural or event details are available.It is unknown how many patients and/or procedures were involved.Due to the reported incident and the required medical intervention of retrieving the devices' broken tips from surgical site/s, this medwatch is being filed.The samples were discarded.Companion samples were returned for evaluation.The lot numbers associated with the devices were not provided.A review of the reprocessing record could not be performed.A potential root cause for the device's tip breaking is design issue (of the original equipment manufacturer).A definitive root cause for the reported issue could not be confirmed at this time.No additional information is available.If additional information becomes available, a supplemental medwatch will be filed.
 
Event Description
It was reported that the tip of the reprocessed depuy mitek expressew¿ iii suture needles broke off during use.
 
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Brand Name
DEPUY MITEK
Type of Device
EXPRESSEW¿ III SUTURE NEEDLE
Manufacturer (Section D)
MEDLINE RENEWAL
1500 ne hemlock ave
redmond OR 97756
Manufacturer Contact
stephen wilson
1500 ne hemlock ave
redmond, OR 97756
MDR Report Key9142491
MDR Text Key170111131
Report Number3032391-2019-00023
Device Sequence Number1
Product Code HWQ
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 10/01/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/01/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number214141RH
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received09/02/2019
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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