ULTRA FAST-FIX 72201494

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-11-13 for ULTRA FAST-FIX 72201494 manufactured by Smith & Nephew Inc..

Event Text Entries

[5082053] Doctor was performing surgical procedure which required use of curved needle delivery system. After the item was opened to sterile field, the surgeon tested it and the device would not work properly. He couldn't get the suture to express from end of needle. A new device was brought to the field and opened without problem. ======================manufacturer response for ultra fast-fix ab curved needle delivery system, split cannula, ultra fast-fix ab curved needle delivery system, split cannula (per site reporter). ======================arrange to return product.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number4289703
MDR Report Key4289703
Date Received2014-11-13
Date of Report2014-11-13
Date of Event2014-11-10
Report Date2014-11-13
Date Reported to FDA2014-11-13
Date Reported to Mfgr2014-12-02
Date Added to Maude2014-12-02
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameULTRA FAST-FIX
Generic NameSUTURE, NONABSORBABLE, SYNTHETIC, POLYESTER
Product CodeGAS
Date Received2014-11-13
Model Number72201494
Catalog Number72201494
Lot Number50509428
ID Number*
OperatorPHYSICIAN
Device AvailabilityY
Device Age*
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW INC.
Manufacturer Address150 MINUTEMAN ROAD ANDOVER MA 01810 US 01810


Patients

Patient NumberTreatmentOutcomeDate
10 2014-11-13

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