BIO MINI-REVO SUTURE ANCHOR, PRELOADED
Received Oct 17, 2007 · Event occurred Sep 25, 2007
Report 1017294-2007-00702 · MDR key 930106
Device
Product problems
- Break
- Device, removal of (non-implant)
Patient
20 YR
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
IT WAS REPORTED THAT DURING THE INSERTION OF THE BIO MINI-REVO ANCHOR, INTO THE PT'S SHOULDER, THE IMPLANT BROKE WHEN THE SURGEON ATTEMPTED TO RELEASE IT FROM THE DISPOSABLE DRIVER. THE BROKEN ANCHOR WAS REMOVED FROM THE PT WITHOUT ANY SERIOUS INJURY, ADD'L INTERVENTION OR DELAY.
Additional Manufacturer Narrative
INVESTIGATION FINDINGS: AN EVALUATION CONFIRMED BREAKAGE OF THE PRE-LOADED ANCHOR WITH THE PROXIMAL END LODGED IN THE DRIVER. APPROXIMATELY, 6MM OF THE THREADED PORTION OF BROKEN ANCHOR WAS NOT RETURNED. IN ADDITION, A VISUAL INSPECTION OF THE RETURNED PORTION OF ANCHOR FOUND IT TWISTED. THE INFORMATION FOR USE (IFU) PROVIDES THE FOLLOWING INFORMATION TO THE USER: PROPER ORIENTATION AND ALIGNMENT OF INSTRUMENTS IS IMPORTANT DURING IMPLANTATION OF THE BIO MINI-REVO TO MINIMIZE POSSIBLE BREAKAGE OF THE ANCHOR. BREAKAGE OF THE BIO MINI-REVO IS POSSIBLE IF: THE PILOT HOLE IS NOT DRILLED TO AN ADEQUATE DEPTH. THE TAP IS NOT INSERTED TO THE PROPER DEPTH. IMPROPER ALIGNMENT OF ANCHOR TO PILOT HOLE. LOOSE OR NON-SECURE ANCHOR ON DRIVER. IT IS NOT USED WITH A BIO MINI-REVO DRILL GUIDE. THE ANCHOR INSERTER IS USED FOR PRYING. THE BIO MINI-REVO IMPLANT IS ADVANCED TOO DEEP. THE CUSTOMER WILL BE PROVIDED THIS INFORMATION.