SELF-CAPTURE, SUTURE PASSER TRUEPASS 72203791

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2015-08-14 for SELF-CAPTURE, SUTURE PASSER TRUEPASS 72203791 manufactured by Smith & Nephew, Inc..

Event Text Entries

[23062331] One truepass suture passer, self-capture device and intact truepass needle, single pack, sterile needles from the same box as the broken needles were returned. The device was inspected visually for damage that could have contributed to the failure. None was found, though wear was observed at the exit point of the volcano which could indicate the device had been dry-fired significantly. Measurement of the unused needles returned with the device found all dimensions inspected to be within specification. The two returned needles were then also used to pass sutures through synthetic rotator cuff 20 times each without any failure. At this point no root cause for the observed failures can be identified. A review of the device history records was performed which confirmed no inconsistencies. No other complaint for the trupass device lot on file. The needles batch lot was not provided. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[23062332] It was reported that during a rotator cuff repair, when passing suture, the needle tip broke. Trupass needles broke at the notch during the case. It was confirmed that all pieces were removed from the patient. There was a two hour procedural delay.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1219602-2015-00804
MDR Report Key5004903
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2015-08-14
Date of Report2014-05-16
Date of Event2014-05-16
Date Mfgr Received2014-05-23
Device Manufacturer Date2013-12-31
Date Added to Maude2015-08-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJAMES GONZALES
Manufacturer Street150 MINUTEMAN ROAD
Manufacturer CityANDOVER MA 01810
Manufacturer CountryUS
Manufacturer Postal01810
Manufacturer Phone5123585706
Manufacturer G1SMITH & NEPHEW, INC.
Manufacturer Street130 FORBES BOULEVARD
Manufacturer CityMANSFIELD MA 02048
Manufacturer CountryUS
Manufacturer Postal Code02048
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSELF-CAPTURE, SUTURE PASSER TRUEPASS
Generic NameWIRE/LIGATURE PASSER
Product CodeMIB
Date Received2015-08-14
Returned To Mfg2014-06-06
Catalog Number72203791
Lot Number20821
ID Number20
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW, INC.
Manufacturer Address130 FORBES BOULEVARD MANSFIELD MA 02048 US 02048


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-08-14

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