STRATAFIX SXPP2B400Recalls & reported problems
Ethicon, LLC · Stratafix (Spiral PDS Plus), Bidirectional · Class 2 · Implant
1 open recall names this device. See the recall details and contact the manufacturer or your healthcare provider.
Quick summary
This Ethicon Stratafix Spiral PDS Plus absorbable barbed suture is used to close surgical wounds. Most of the 50 reports describe the barbs not gripping tissue or the suture breaking during surgery, along with parts separating or failing; 1 report describes an injury and no deaths. One open recall, started in August 2025, concerns barbs that may not engage, and reports have dropped from 30 in the earlier 12 months to 12 in the most recent.
AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.
- Adverse event reports
- 54
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 1
Summary
The FDA's MAUDE database contains 54 adverse event reports that list this exact device (DI 10705031464568), received between Aug 8, 2023 and Sep 21, 2026 — classified as 1 injury, 53 malfunctions.
The most frequently reported specific device problem is “Positioning Failure” (35 reports).
1 FDA recall record name this device's identifier, 1 still open.
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Reports received per month
Recalls naming this device
- Aug 15, 2025Open, Classified
Potential for barb non-engagement.
Z-2605-2025 · Root cause: Under Investigation by firm · FDA record ↗
Most reported problems
Device problems
- Positioning Failure35
- Break10
- Defective Component8
- Material Separation4
- Appropriate Device Problem Term/Code Not Available2
- Insufficient Device Problem Information2
- Adverse Event Without Identified Device or Use Problem1
- Material Frayed1
Patient problems
- No Clinical Signs, Symptoms or Conditions53
- Local Reaction1
- Pocket Erosion1
Recent adverse event reports
The 25 most recent of 54 reports, in the reporter's own words as published by the FDA.
MalfunctionSep 21, 2026Break
It was reported that a patient underwent an unknown procedure in (b)(6) 2026 and barbed suture was used. In some cases, anchors are missing from the threads of the same item code with different lot numbers. Several foils were opened until one with an anchor was opened. The procedure was finished with this suture. There were no patient outcome. There were no patient consequences reported. Additional information was requested.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50838083 ↗MalfunctionSep 21, 2026Break
It was reported that a patient underwent an unknown procedure in (b)(6) 2026 and barbed suture was used. In some cases, anchors are missing from the threads of the same item code with different lot numbers. Several foils were opened until one with an anchor was opened. The procedure was finished with this suture. There were no patient outcome. There were no patient consequences reported. Additional information was requested.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50838081 ↗MalfunctionSep 21, 2026Break
It was reported that a patient underwent an unknown procedure in (b)(6) 2026 and barbed suture was used. In some cases, anchors are missing from the threads of the same item code with different lot numbers. Several foils were opened until one with an anchor was opened. The procedure was finished with this suture. There were no patient outcome. There were no patient consequences reported. Additional information was requested.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50838079 ↗MalfunctionSep 17, 2026Positioning Failure
It was reported that a patient underwent an unknown procedure on (b)(6) 2026 and barbed suture was used. The surgeon placed the first stitch and pulled the suture through the tissue. Due to the arrangement of the barbs on the suture, a noticeable resistance should normally be felt at the midpoint. However, the suture passed through the tissue without any difficulty and without catching. The surgeon then checked whether the barbs were present and commented that they were barely perceptible. A second suture was opened, and the barbs were compared again. According to the reporter, the product has deteriorated since the switch from SXPD2B400, and the barbs are noticeably less pronounced than before.No adverse patient consequences were reported. Additional information was requested
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50802625 ↗MalfunctionApr 30, 2026Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN ABDOMINOPLASTY PROCEDURE ON (B)(6) 2026 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, OPENED 3 PACKAGES OF THE SXPP2B400 SUTURE. THE BARBS WERE NOT GRASPING. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25050001 ↗MalfunctionApr 30, 2026Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN ABDOMINOPLASTY PROCEDURE ON (B)(6) 2026 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, OPENED 3 PACKAGES OF THE SXPP2B400 SUTURE. THE BARBS WERE NOT GRASPING. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25048335 ↗MalfunctionApr 30, 2026Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN ABDOMINOPLASTY PROCEDURE ON (B)(6) 2026 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, OPENED 3 PACKAGES OF THE SXPP2B400 SUTURE. THE BARBS WERE NOT GRASPING. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 25048326 ↗MalfunctionApr 7, 2026Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. TWO SURGEONS WERE USING BARBED SUTURE AND THE SUTURE BROKE MULTIPLE TIMES IN THE CASES. UNKNOWN IF THERE WAS ANY SURGICAL DELAY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24805008 ↗MalfunctionApr 7, 2026Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. TWO SURGEONS WERE USING BARBED SUTURE AND THE SUTURE BROKE MULTIPLE TIMES IN THE CASES. UNKNOWN IF THERE WAS ANY SURGICAL DELAY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24804488 ↗MalfunctionApr 1, 2026Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. IT WAS REPORTED THAT TWO SURGEONS WERE USING BARBED SUTURE AND THE SUTURE BROKE MULTIPLE TIMES IN THE CASES. UNKNOWN IF THERE WAS ANY SURGICAL DELAY. NO HARM WAS REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24756539 ↗MalfunctionMar 31, 2026Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND SUTURE WAS USED. IT WAS REPORTED THAT TWO SURGEONS WERE USING BARBED SUTURE AND THE SUTURE BROKE MULTIPLE TIMES IN THE CASES. UNKNOWN IF THERE WAS ANY SURGICAL DELAY. NO HARM WAS REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24746378 ↗MalfunctionMar 30, 2026Positioning Failure; Insufficient Device Problem Information
IT WAS REPORTED THAT A PATIENT UNDERWENT AN KNEE SURGERY ON (B)(6) 2026 AND BARBED SUTURE WAS USED. THE SURGEON AND HIS COLLEAGUES PREVIOUSLY USED THE BARBED SUTURE FOR KNEE CAPSULE CLOSURE. WITH THE SWITCH FROM THE POLYMER PDO TO PDS PLUS, THE RETENTION OF THE BARBS HAS BEEN CRITICIZED. THE BARBED SUTURE CAN EASILY BE PULLED THROUGH THE TISSUE AGAINST THE ANCHORS, RESULTING IN A LACK OF CONFIDENCE IN THE SUTURE PLACEMENT. THE CAPSULE CLOSURE WAS PERFORMED WITH A BARBED SUTURE, IN WHICH THE CTX NEEDLE OFTEN BENDS AT THE PROXIMAL START OF THE SUTURE. THEREFORE, THEY SWITCHED BACK TO THE BIDIRECTIONAL BARBED SUTURE. SURGERY WAS DELAYED 10 MINUTES. THERE WERE NO PATIENT CONSEQUENCES REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24729898 ↗MalfunctionMar 30, 2026Positioning Failure; Insufficient Device Problem Information
IT WAS REPORTED THAT A PATIENT UNDERWENT AN KNEE SURGERY ON (B)(6) 2026 AND BARBED SUTURE WAS USED. THE SURGEON AND HIS COLLEAGUES PREVIOUSLY USED THE BARBED SUTURE FOR KNEE CAPSULE CLOSURE. WITH THE SWITCH FROM THE POLYMER PDO TO PDS PLUS, THE RETENTION OF THE BARBS HAS BEEN CRITICIZED. THE BARBED SUTURE CAN EASILY BE PULLED THROUGH THE TISSUE AGAINST THE ANCHORS, RESULTING IN A LACK OF CONFIDENCE IN THE SUTURE PLACEMENT. THE CAPSULE CLOSURE WAS PERFORMED WITH A BARBED SUTURE, IN WHICH THE CTX NEEDLE OFTEN BENDS AT THE PROXIMAL START OF THE SUTURE. THEREFORE, THEY SWITCHED BACK TO THE BIDIRECTIONAL BARBED SUTURE. SURGERY WAS DELAYED 10 MINUTES. THERE WERE NO PATIENT CONSEQUENCES REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24728915 ↗MalfunctionDec 19, 2025Positioning Failure; Material Integrity Problem; Positioning Failure; Material Integrity Problem
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNSPECIFIED ORTHOPEDIC PROCEDURE IN 2025 AND BARBED SUTURE WAS USED. THE PARTICULAR PIECE OF SUTURE HAS AN UNUSUALLY SMOOTH SURFACE, WITH THE BARD NOT DEEP ENOUGH TO PROVIDE PROPER HOLDING STRENGTH COMPARED THE OTHER SUTURES. UPON OPENING THE PACKAGING, HE IMMEDIATELY NOTICED THE DIFFERENCE BY TOUCH, AS THE SUTURE FELT MUCH SMOOTHER THAN USUAL. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23851649 ↗MalfunctionDec 19, 2025Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2025 AND BARBED SUTURE WAS USED. THE DOCTOR WAS USING A BARBED SUTURE AND THE SUTURE SUDDENLY BROKE. THERE WERE NO PATIENT CONSEQUENCES REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23849167 ↗MalfunctionDec 4, 2025Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN ABDOMINOPLASTY PROCEDURE ON (B)(6) 2025 AND SUTURE WAS USED. OR NURSE INFORMED ME THAT SXPP2B400 LOT 104UC3 BARBS ON THE SUTURE DO NOT PROVIDE THE SAME TRACTION AS THE PREVIOUS SUTURE DID SXPD2B400. THE SUTURE BEGAN TO SLIP AS WE WERE DOING THE DIASTASIS REPAIR. THERE WERE NO PATIENT CONSEQUENCES REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23715222 ↗MalfunctionOct 15, 2025Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2025 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, DR WAS USING SXPP2B400 AT MOUNT ELIZABETH NOVENA HOSPITAL, AND FELT THAT THE SUTURE DOES NOT CATCH PROPERLY AT THE TRANSITION POINT, AND THOUGHT THE BARBS OF SXPP2B400 DO NOT CATCH AS WELL AS THE BARBS OF SXPD2B400. HE WAS FRUSTRATED WITH THE SUTURE AND SWITCHED TO VICRYL 1 INSTEAD. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23303722 ↗MalfunctionSep 3, 2025Defective Component; Appropriate Device Problem Term/Code Not Available; Defective Component; Appropriate Device Problem Term/Code Not Available
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE IN 2025 AND BARBED SUTURE WAS USED. THE SURGEON COULD NOT FEEL THE BARBS ALONG THE SUTURE LINE, BARBS NOT PROMINENT AT ALL. THERE WAS NO DELAY DUE TO THE EVENT. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. NO FURTHER INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22953959 ↗MalfunctionSep 3, 2025Defective Component; Appropriate Device Problem Term/Code Not Available; Defective Component; Appropriate Device Problem Term/Code Not Available
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE IN 2025 AND BARBED SUTURE WAS USED. BARBS COULD NOT BE FELT BY SURGEON AS HE RAN HIS FINGERS THROUGH THE SUTURE LINE. NOT AS PROMINENT AS HOW IT WAS. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22953282 ↗MalfunctionAug 14, 2025Defective Component; Defective Component
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2025 AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE BARBED SUTURE HAD NO BARBS AND THEREFORE, NOT USED ON THE PATIENT. A SECOND BARBED SUTURE WAS OPENED AND THAT SUTURE HAD BARBS. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. UPON EVALUATION, THE RETURNED DEVICES DID NOT MEET THE SPECIFIED REQUIREMENTS FOR THE BARB MEASUREMENTS. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22805120 ↗MalfunctionAug 14, 2025Defective Component; Defective Component
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. THE BARBED SUTURE CAME WITH NO BARBS STRAIGHT OUT FROM PACKAGE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. ADDITIONAL INFORMATION WAS REQUESTED. UPON EVALUATION, THE RETURNED DEVICES DID NOT MEET THE SPECIFIED REQUIREMENTS FOR THE BARB MEASUREMENTS.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22803098 ↗MalfunctionJul 25, 2025Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE IN 2025 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, WAS ALERTED BY CLINIC NURSE THAT DR EXPERIENCED 2X FAULTY SXPP2B400 WHERE BARBED SUTURE WAS TOTALLY SMOOTH AND UNABLE TO CATCH ONTO TISSUE. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22610523 ↗MalfunctionJul 25, 2025Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE IN 2025 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, WAS ALERTED BY CLINIC NURSE THAT DR EXPERIENCED 2X FAULTY SXPP2B400 WHERE BARBED SUTURE WAS TOTALLY SMOOTH AND UNABLE TO CATCH ONTO TISSUE. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22610495 ↗MalfunctionJun 25, 2025Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. IT WAS REPORTED THAT THE BARBS ARE NOT PRONOUNCED AS THEY NORMALLY ARE. THERE WAS NO PATIENT CONSEQUENCE REPORTED. DEVICES WERE RETURNING. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22328997 ↗MalfunctionJun 25, 2025Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. IT WAS REPORTED THAT THE BARBS ARE NOT PRONOUNCED AS THEY NORMALLY ARE. THERE WAS NO PATIENT CONSEQUENCE REPORTED. DEVICES WERE RETURNING. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22328996 ↗
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- STRATAFIX SXPP1A406Ethicon, LLC · SUTURE, SURGICAL, ABSORBABLE, POLYDIOXANONE339 reports
- STRATAFIX SXPP1A404Ethicon, LLC · SUTURE, SURGICAL, ABSORBABLE, POLYDIOXANONE1 death319 reports
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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.