MAUDE MDR 8499429

MDR report key
8499429
Report number
3010692967-2019-00012
Event key
0
Event type
3
Date of event
2018-12-31
Date received
2019-04-10
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
100
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MR. RONALD GIANNANGELO
Address
247 STATION DRIVE SUITE NE1 WESTWOOD MA 02090 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1STRATAFIXSTRAFIX PDOSURGICAL SPECIALTIES CORPORATIONGABSXPD2B400MDVH410R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-04-1001. O

Event Narratives#

N

Patient 1

WITHOUT REVIEWING THE ACTUAL SAMPLE, AN EXACT ROOT CAUSE FOR THE NON-CONFORMANCE REPORTED CANNOT BE DETERMINED AT THIS TIME. A POSSIBLE CAUSE COULD BE BENDING, FRACTURING, BREAKING OF A NEEDLE CAN OCCUR WHEN NEEDLES ARE GRIPPED WITH A NEEDLE HOLDER/FORCEPS AT THE SWAGED AREA AND/OR NEAR THE TIP OF THE DEVICE. THE STRESS AT THE GRIPPED AREA MAY EXCEED THE MAXIMUM STRESS OF THE MATERIAL RESULTING IN BENDING AND/OR FAILURE (BROKEN NEEDLE). THE STRESS ON THE ATTACHMENT SECTION IS GREATLY REDUCED WHEN THE NEEDLE IS HELD IN AN AREA ONE-THIRD (1/3) TO ONE-HALF (1/2) OF THE DISTANCE FROM THE SWAGED END TO THE POINT AS INDICATED IN THE IFU FOR THIS PRODUCT. THE NEEDLE ITSELF IS FROM SUPPLIED BY AN OUTSIDE SUPPLIER. A REVIEW OF THE DEVICE HISTORY RECORDS FOR THE FINISHED GOOD LOT, DID NOT IDENTIFY ANY QUALITY ISSUES DURING THE INCOMING, MANUFACTURING, IN-PROCESS OR FINAL INSPECTION PROCESSES. THERE HAVE BEEN NO LOTS RELEASED FOR DISTRIBUTION WHICH FAILED TO MEET ANY OF THE PRODUCT SPECIFICATIONS OR CURRENT ACCEPTANCE CRITERIA.

D

Patient 1

IT WAS REPORTED THAT NEEDLE TIP BROKE DURING LAPAROSCOPIC EXCAVATION. SEARCHED FOR THE BROKEN PIECE WITH A C-ARM AND FLUSH WITH SALINE. IT WAS NOT FOUND IN PATIENT BODY. CHANGED ANOTHER ONE TO COMPLETE.