STRATAFIX SXPP2B203Recalls & reported problems
Ethicon, LLC · Stratafix (Spiral PDS Plus), Bidirectional · Class 2 · Implant
Data updated Oct 13, 2026 from official FDA records · Editorial policy
Quick summary
This Ethicon Stratafix Spiral PDS Plus barbed surgical suture is used to close skin and soft tissue, mainly in knee and joint replacement surgery. The 28 reports mostly describe the suture breaking during wound closure, or the material separating, sometimes leaving a broken needle tip or metallic fragment in the patient; a few mention the barbs not holding as well as expected and wounds reopening. Three reports describe injuries and no deaths. No recalls name this device.
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
- 27
- Deaths reported
- 0
- Injuries reported
- 2
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 27 adverse event reports that list this exact device (DI 10705031465169), received between Nov 4, 2022 and May 6, 2026 — classified as 2 injuries, 25 malfunctions.
The most frequently reported specific device problem is “Break” (13 reports).
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
Most reported problems
Device problems
- Break13
- Material Separation9
- Adverse Event Without Identified Device or Use Problem2
- Positioning Failure2
Patient problems
- No Clinical Signs, Symptoms or Conditions24
- Wound Dehiscence2
- Foreign Body In Patient1
Recent adverse event reports
The 25 most recent of 27 reports, in the reporter's own words as published by the FDA.
MalfunctionMay 6, 2026
IT WAS A CASE OF RIGHT KNEE ARTHROPLASTY REVISION, DR. [REDACTED] WAS THE ONE WHO CLOSED THE FIRST AND SECOND LAYER OF THE SKIN AND LET HIS PA [PHYSICIAN ASSISTANT] CLOSED THE REST. WHILE CLOSING, THE PA NOTICED THAT THE TIP OF THE NEEDLE IS BROKEN. DR. [REDACTED] WAS NOTIFIED. X-RAY CALLED FOR BROKEN ITEM, CHARGE NURSE WAS NOTIFIED ALSO. X-RAY WAS DONE AND READ BY DR. [REDACTED] AND THE REPORT WAS POSITIVE FOR METALLIC FOREIGN BODY OVER THE MEDIAL ASPECT OF THE MEDIAL FEMORAL CONDYLE. DR. [REDACTED] OPEN THE SURGICAL SITE TO LOCATE THE BROKEN NEEDLE AND WHILE DOING IT HE IS USING THE SUCTION. SECOND X-RAY WAS DONE AND PER RADIOLOGY REPORT THE BROKEN NEEDLE HAS BEEN REMOVED. DR. [REDACTED] AND DR. [REDACTED] ALSO HAS A TELEPHONE CONVERSATION REGARDING THE RESULT.
Patient problems: Foreign Body In Patient
MAUDE report 25092677 ↗MalfunctionApr 6, 2026Break
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL KNEE ARTHROPLASTY (TKA) ON (B)(6) 2026 AND BARBED SUTURE WAS USED. IT WAS REPORTED THAT ORTHOPEDIC SURGEON, WAS USING BARBED SUTURE IN A TOTAL KNEE PROCEDURE. HE HAD TWO STRANDS BREAK ON HIM WHILE ATTEMPTING TO CLOSE THE WOUND. PROCEDURE WAS DELAYED BY 10 MINUTES. NO PATIENT HARM WAS REPORTED. DEVICES ARE AVAILABLE FOR RETURN. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24790038 ↗MalfunctionApr 6, 2026Break
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL KNEE ARTHROPLASTY (TKA) ON (B)(6) 2026 AND BARBED SUTURE WAS USED. IT WAS REPORTED THAT ORTHOPEDIC SURGEON, WAS USING BARBED SUTURE IN A TOTAL KNEE PROCEDURE. HE HAD TWO STRANDS BREAK ON HIM WHILE ATTEMPTING TO CLOSE THE WOUND. PROCEDURE WAS DELAYED BY 10 MINUTES. NO PATIENT HARM WAS REPORTED. DEVICES ARE AVAILABLE FOR RETURN. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24790036 ↗MalfunctionJun 13, 2024Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL KNEE REPLACEMENT ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. THE SURGICAL FIRST ASSIST STATED THAT THE BARBS ON THE BARBED SUTURE DID NOT SEEM AS EFFECTIVE AS USUAL. NO PATIENT HARM. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19534565 ↗MalfunctionJun 13, 2024Positioning Failure; Positioning Failure
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL KNEE REPLACEMENT ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. THE SURGICAL FIRST ASSIST STATED THAT THE BARBS ON THE BARBED SUTURE DID NOT SEEM AS EFFECTIVE AS USUAL. NO PATIENT HARM. NO ADDITIONAL INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19534564 ↗MalfunctionFeb 9, 2024Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL JOINT PROCEDURE IN 2024 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE SALES REP REPORTED THAT 3 EACHES OF SXPP2B203 BROKE DURING A TOTAL JOINT CASE. ALL 3 SUTURES WERE SXPP2B203 LOT #TDBBZZ. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. NO ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18676443 ↗MalfunctionFeb 9, 2024Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL JOINT PROCEDURE IN 2024 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE SALES REP REPORTED THAT 3 EACHES OF SXPP2B203 BROKE DURING A TOTAL JOINT CASE. ALL 3 SUTURES WERE SXPP2B203 LOT #TDBBZZ. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. NO ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18676440 ↗MalfunctionFeb 9, 2024Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL JOINT PROCEDURE IN 2024 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE SALES REP REPORTED THAT 3 EACHES OF SXPP2B203 BROKE DURING A TOTAL JOINT CASE. ALL 3 SUTURES WERE SXPP2B203 LOT #TDBBZZ. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. NO ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18676438 ↗MalfunctionOct 12, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL JOINT PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. DURING THE PROCEDURE THE NEEDLE WAS RANDOMLY POPPING OFF OF THE SWAGE. THE DOCTOR WAS NOT EXCESSIVELY PULLING OR MISHANDLING THE SUTURE. HE'S NOT BEING EXTREMELY MINDFUL OF HOW HE PULLS THE STITCH THROUGH TO PREVENT THIS FROM HAPPENING. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17927139 ↗MalfunctionOct 12, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL JOINT PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. DURING THE PROCEDURE THE NEEDLE WAS RANDOMLY POPPING OFF OF THE SWAGE. THE DOCTOR WAS NOT EXCESSIVELY PULLING OR MISHANDLING THE SUTURE. HE'S NOT BEING EXTREMELY MINDFUL OF HOW HE PULLS THE STITCH THROUGH TO PREVENT THIS FROM HAPPENING. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17926869 ↗MalfunctionOct 12, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT A TOTAL JOINT PROCEDURE ON AN UNKNOWN DATE AND BARBED SUTURE WAS USED. DURING THE PROCEDURE THE NEEDLE WAS RANDOMLY POPPING OFF OF THE SWAGE. THE DOCTOR WAS NOT EXCESSIVELY PULLING OR MISHANDLING THE SUTURE. HE'S NOT BEING EXTREMELY MINDFUL OF HOW HE PULLS THE STITCH THROUGH TO PREVENT THIS FROM HAPPENING. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17926538 ↗MalfunctionAug 9, 2023Break; Break
IT WAS REPORTED A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE IN 2023 AND BARBED SUTURE WAS USED. SUTURE BROKE IN THE MIDDLE AFTER THE VERY FIRST THROW. THERE WERE NO PATIENT CONSEQUENCES. DEVICE NOT AVAILABLE FOR RETURN. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17494439 ↗MalfunctionAug 9, 2023Break; Break
IT WAS REPORTED A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE IN 2023 AND BARBED SUTURE WAS USED. SUTURE BROKE IN THE MIDDLE AFTER THE VERY FIRST THROW. THERE WERE NO PATIENT CONSEQUENCES. DEVICE NOT AVAILABLE FOR RETURN. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17494432 ↗MalfunctionAug 9, 2023Break; Break
IT WAS REPORTED A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE IN 2023 AND BARBED SUTURE WAS USED. SUTURE BROKE IN THE MIDDLE AFTER THE VERY FIRST THROW. THERE WERE NO PATIENT CONSEQUENCES. DEVICE NOT AVAILABLE FOR RETURN. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17494426 ↗MalfunctionMar 20, 2023Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2023 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, MULTIPLE #1 STRATAFIX SUTURES HAVE BEEN BREAKING IN THE CENTER OF THE SUTURE. IT IS DURING THE FIRST TWO TO THREE THROWS WHEN PULLING TO SET THE SUTURE. UNKNOWN IF THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16579902 ↗MalfunctionMar 20, 2023Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2023 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, MULTIPLE #1 STRATAFIX SUTURES HAVE BEEN BREAKING IN THE CENTER OF THE SUTURE. IT IS DURING THE FIRST TWO TO THREE THROWS WHEN PULLING TO SET THE SUTURE. UNKNOWN IF THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16579901 ↗MalfunctionMar 20, 2023Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2023 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, MULTIPLE #1 STRATAFIX SUTURES HAVE BEEN BREAKING IN THE CENTER OF THE SUTURE. IT IS DURING THE FIRST TWO TO THREE THROWS WHEN PULLING TO SET THE SUTURE. UNKNOWN IF THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16579900 ↗MalfunctionMar 20, 2023Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2023 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, MULTIPLE #1 STRATAFIX SUTURES HAVE BEEN BREAKING IN THE CENTER OF THE SUTURE. IT IS DURING THE FIRST TWO TO THREE THROWS WHEN PULLING TO SET THE SUTURE. UNKNOWN IF THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16579899 ↗MalfunctionMar 20, 2023Break; Break
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON (B)(6) 2023 AND BARBED SUTURE WAS USED. DURING THE PROCEDURE, MULTIPLE #1 STRATAFIX SUTURES HAVE BEEN BREAKING IN THE CENTER OF THE SUTURE. IT IS DURING THE FIRST TWO TO THREE THROWS WHEN PULLING TO SET THE SUTURE. UNKNOWN IF THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO ADVERSE PATIENT CONSEQUENCES WERE REPORTED. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16579898 ↗MalfunctionFeb 7, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE NEEDLE POPPED OFF THE SUTURE WHILE SUTURING CAPSULE CLOSED. IT WAS UNKNOWN IF HE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16310878 ↗MalfunctionFeb 7, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE NEEDLE POPPED OFF THE SUTURE WHILE SUTURING CAPSULE CLOSED. IT WAS UNKNOWN IF HE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16310875 ↗MalfunctionFeb 7, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE NEEDLE POPPED OFF THE SUTURE WHILE SUTURING CAPSULE CLOSED. IT WAS UNKNOWN IF HE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16310872 ↗MalfunctionFeb 7, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE NEEDLE POPPED OFF THE SUTURE WHILE SUTURING CAPSULE CLOSED. IT WAS UNKNOWN IF HE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16310868 ↗MalfunctionFeb 7, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE NEEDLE POPPED OFF THE SUTURE WHILE SUTURING CAPSULE CLOSED. IT WAS UNKNOWN IF HE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16310867 ↗MalfunctionFeb 7, 2023Material Separation; Material Separation
IT WAS REPORTED THAT A PATIENT UNDERWENT AN UNKNOWN PROCEDURE ON AN UNKNOWN DATE AND A BARBED SUTURE WAS USED. DURING THE PROCEDURE, THE NEEDLE POPPED OFF THE SUTURE WHILE SUTURING CAPSULE CLOSED. IT WAS UNKNOWN IF HE PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES. ADDITIONAL INFORMATION WAS REQUESTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16310866 ↗
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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 and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 13, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 13, 2026
- Page last rebuilt: Oct 13, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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