inforMED
MalfunctionKGS

ORTHOPAEDIC BIOSYSTEM LID

Received Oct 7, 2002 · Event occurred Sep 13, 2002

Report 420745 · MDR key 420745

Device

Generic name

Polymer Anchor

Model number

PRC5

Catalog number

23-1588-01

Lot number

Q2004D1

Product problems

  • Break
  • Tip breakage

Patient

79 YR

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

DURING ROTATOR CUFF REPAIR USING 5.0MM OBC POLYMER SUTURE ANCHOR; ANCHOR TIP BROKE OFF IN SHAFT OF DRIVER. NO REMNANT OF SUTURE ANCHOR LEFT IN PT.