inforMED
MalfunctionODU

MICROAIRE ENDOTINE

Received Jun 29, 2022 · Event occurred Apr 11, 2022

Report 2020601-2022-00002 · MDR key 14856691

Device

Generic name

Endotine Forehead 3.0

Model number

CFD-22202

Catalog number

CFD-22202

Lot number

362265

Product problems

  • Migration or Expulsion of Device
  • Patient Device Interaction Problem
  • Migration
  • Migration or Expulsion of Device
  • Patient Device Interaction Problem
  • Migration

Patient

62 YR · Female

  • Failure of Implant
  • Failure of Implant

Narrative

Description of Event or Problem

THE DOCTOR STATED THAT DURING POST OPERATION THE BROW POSITION WAS INTIALLY OKAY BUT THEN THEY NOTICED THAT THE RIGHT BROWN HAD DROPPED. THE PATIENT WAS TAKEN BACK TO SURGERY AND THE RIGHT ENDOTINE IMPLANT HAD COME OUT OF THE HOLE AND WAS IN THE SOFT TISSUE LATERALLY. THIS WAS REMVOED. A NEW HOLE WAS DRILLED, A NEW ENDOTINE WAS PLACED AND THE POST OPERATION BROW POSTION WAS GOOD.

Additional Manufacturer Narrative

THE DEVICE HISTORY RECORD (DHR) ASSOCIATED WITH (B)(6) LOT NUMBER 362265 WAS REVIEWED AND NO ANOMALIES WERE IDENTIFIED WITHIN THE MANUFACTURING PROCESS WHICH WOULD RESULT AND/OR CONTTRIBUTE TO THE REPORTED ISSUE. THIS DEVICE WAS MANUFACTURED ON (B)(6) 2021, PLACED INTO MICROAIRE FINISHED GOODS INVENTORY ON (B)(6) 2021 WITH AN ORIGINAL SHIP DATE OF (B)(6) 2021 TO THIS CUSTOMER. WITHIN THE COMPLAINT INCIDENT REPORT (CIR) IT WAS IDENTIFIED THAT DURING POST OP THE BROW POSITION WAS INITIALLY OKAY BUT WAS LATER NOTICED THAT THE RIGHT BROW DROPPED. THE PATIENT WAS TAKEN BACK INTO SURGERY AND THE RIGHT ENDOTINE HAD DISLODGED FROM THE HOLE AND WAS IN THE SOFT TISSUE. THE IMPLANT WAS REMOVED, A NEW HOLE WAS DRILLED AND A NEW ENDOTINE IMPLANT WAS PLACED AND THE BROW POSITION WAS GOOD. THE COMPLAINT PRODUCT WAS DISCARDED AT THE FACILITY. SINCE THE COMPLAINT DEVICE WAS NOT RETURNED FOR EVALUATION MICROAIRE WAS UNABLE TO DETERMINE THE INITIAL CAUSE OF THE IMPLANT FAILURE/DISLODGEMENT OF THE IMPLANT FROM THE SURGICAL SITE AND THE PRIMARY FAILURE WILL BE LISTED AS BROKEN FOR MICROAIRE TRACKING AND TRENDING PURPOSES. THE BROW DESCENT IS A SECONDARY FAILURE OCCURRING AS A RESULT OF LOSS OF FIXATION WITHIN THE POST HOLE INTERFACE.