MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2020-02-03 for ACL TIGHTROPE RT W/ DEPLOYING SUTURE AR-1588RT-J manufactured by Arthrex, Inc..
[187304980]
Complaint is confirmed. Only the white suture was received. The suture appears to be frayed at both ends. The piece of suture which was returned measured approximately 23. 5 inches in length. The most likely cause of this type of event is the suture being cut prematurely, being struck by another instrument or sharp object.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1220246-2020-01622 |
| MDR Report Key | 9659030 |
| Report Source | FOREIGN,HEALTH PROFESSIONAL,U |
| Date Received | 2020-02-03 |
| Date of Report | 2020-02-03 |
| Date of Event | 2020-01-10 |
| Date Mfgr Received | 2020-01-14 |
| Device Manufacturer Date | 2019-07-10 |
| Date Added to Maude | 2020-02-03 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | VIK BAJNATH |
| Manufacturer Phone | 8009337001 |
| Manufacturer G1 | ARTHREX, INC. |
| Manufacturer Street | 1370 CREEKSIDE BOULEVARD |
| Manufacturer City | NAPLES FL 341081945 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 341081945 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ACL TIGHTROPE RT W/ DEPLOYING SUTURE |
| Generic Name | PIN, FIXATION, SMOOTH |
| Product Code | HTY |
| Date Received | 2020-02-03 |
| Model Number | ACL TIGHTROPE RT W/ DEPLOYING SUTURE |
| Catalog Number | AR-1588RT-J |
| Lot Number | 10334028 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ARTHREX, INC. |
| Manufacturer Address | 1370 CREEKSIDE BOULEVARD NAPLES FL 341081945 US 341081945 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2020-02-03 |