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QUICKANCHOR ETHIBOND TAPERCUT 212865Recalls & reported problems

Depuy Mitek, LLC · MICRO QUICKANCHOR Plus (Number 3/0) Suture 3/0 (2 metric) white ETHIBOND braided polyester suture, with V-4 TAPERCUT needles and a 1.3 x 5.0mm drill bit · Class 2 · Implant

Quick summary

This DePuy Mitek QuickAnchor Tapercut is a small suture anchor used in hand and foot repairs. Its 96 reports mostly describe the anchor or its suture breaking, detaching or loosening during insertion, and some describe anchors that would not go into the bone or that migrated later. The reports include 5 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
96
Deaths reported
0
Injuries reported
5
Recalls naming it
0

Summary

The FDA's MAUDE database contains 96 adverse event reports that list this exact device (DI 10886705002528), received between Apr 30, 2018 and Apr 9, 2026 — classified as 5 injuries, 91 malfunctions.

The most frequently reported specific device problem is “Break” (29 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

Nov 2023: 0 reportsDec 2023: 1 reportsJan 2024: 0 reportsFeb 2024: 2 reportsMar 2024: 2 reportsApr 2024: 1 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 1 reportsNov 2024: 0 reportsDec 2024: 1 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 2 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 1 reportsSep 2025: 1 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 3 reportsMar 2026: 1 reportsApr 2026: 1 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520263
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Break29
  • Detachment of Device or Device Component21
  • Difficult to Advance11
  • Migration or Expulsion of Device8
  • Device-Device Incompatibility7
  • Migration7
  • Material Frayed5
  • Positioning Failure4

Patient problems

  • No Clinical Signs, Symptoms or Conditions51
  • No Consequences Or Impact To Patient37
  • Not Applicable4
  • Injury2
  • No Code Available2
  • Impaired Healing1
  • Inflammation1
  • Tissue Damage1

Recent adverse event reports

The 25 most recent of 96 reports, in the reporter's own words as published by the FDA.

  • MalfunctionApr 9, 2026Difficult to Advance

    IT WAS REPORTED THAT DURING AN UNSPECIFIED PROCEDURE THAT THE MICRO QA+ #3/0 ETH V-4 ANCHOR DEVICE COULD NOT BE INSERTED INTO THE BONE TUNNEL. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24831166 ↗
  • MalfunctionMar 30, 2026Break

    IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGERY, THE QUICKANCHOR ETHIBOND TAPERCUT ANCHOR WAS BROKEN OFF. ALL THE BROKEN PARTS WERE REMOVED. ANOTHER DEVICE WAS USED TO COMPLETE THE SURGERY. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24711362 ↗
  • MalfunctionFeb 17, 2026Unintended Movement

    IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE OF THE HAND, IT WAS OBSERVED THAT THE SCREW AT THE TIP OF THE MICRO QA+ #3/0 ETH V-4 DEVICE HAD BEEN LOOSE FROM THE START. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT, AND NO SURGICAL DELAY. NO ADDITIONAL INFORMATION COULD BE PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24367614 ↗
  • MalfunctionFeb 5, 2026Break

    IT WAS REPORTED THAT DURING A FOOT SURGERY PROCEDURE, WHEN TIGHTENED THE SUTURE OF THE MICRO QA+ #3/0 ETH V-4 DEVICE, THE SUTURE BROKEN. ANOTHER DEVICE WAS USED TO COMPLETE THE SURGERY. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION COULD BE PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24272860 ↗
  • MalfunctionFeb 5, 2026Migration

    IT WAS REPORTED THAT DURING FINGER TENDON REPAIR SURGERY, THE MICRO QA+ #3/0 ETH V-4 ANCHOR DEVICE WAS PULLED OUT. ANOTHER DEVICE WAS USED TO COMPLETE THE SURGERY. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION COULD BE PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24272214 ↗
  • MalfunctionSep 15, 2025Break; Break

    IT WAS REPORTED THAT DURING A FINGER LIGAMENT REPAIR SURGERY, IT WAS OBSERVED THAT WHEN THE MICRO QA+ #3/0 ETH V-4 DEVICE SUTURE WAS TIGHTENED, THE SUTURE WAS BROKEN OFF. ANOTHER DEVICE WAS USED TO COMPLETE THE SURGERY. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION COULD BE PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23052895 ↗
  • MalfunctionAug 14, 2025Device-Device Incompatibility; Migration; Device-Device Incompatibility; Migration

    IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE INVOLVING THE TREATMENT OF A METACARPAL BONE, THE SURGEON INSERTED THE ANCHOR OF THE MICRO QA+ #3/0 ETH V-4 DEVICE INTO THE BURR HOLE CREATED PER THE SURGICAL TECHNIQUE. HOWEVER, THE ANCHOR DID NOT DEPLOY IN THE BONE AND BECAME DISLODGED. NO DAMAGE WAS OBSERVED TO THE ANCHOR. IT WAS REPORTED THAT THERE WERE NO DELAYS TO THE SURGICAL PROCEDURE AS A SPARE DEVICE WAS AVAILABLE TO COMPLETE THE SURGERY. THERE WERE NO REPORTS OF INJURIES, MEDICAL INTERVENTION OR PROLONGED HOSPITALIZATION. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22806925 ↗
  • MalfunctionApr 30, 2025Detachment of Device or Device Component; Unintended Movement; Detachment of Device or Device Component; Unintended Movement

    IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE FOR THE HAND THE MICRO QA+ #3/0 ETH V-4 DEVICE THREAD CAME LOOSE AND THE TIP OF THE ANCHOR CAME OFF. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21934946 ↗
  • InjuryApr 4, 2025Break; Break

    UPDATED EVENT DESCRIPTION: IT WAS REPORTED THAT DURING A TENDON INSERTION RECONSTRUCTION SURGICAL PROCEDURE, THE MICRO QUICKANCHOR (MICRO QA+ #3/0 ETH V-4) METAL BONE WITH SUTURE DEVICE BROKE. DURING THE OPERATION, AFTER FIXING THE ANCHOR, THE TENDON STUMP WAS SUTURED WITH A TAIL THREAD. IT WAS REPORTED THAT THE TAIL TREAD BROKE. IT WAS REPORTED THAT THE SURGERY WAS CONTINUED, AND ANOTHER DEVICE WAS USED TO COMPLETE THE SURGERY. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT. NO ADDITIONAL INFORMATION COULD BE PROVIDED.

    Patient problems: Unspecified Tissue Injury

    MAUDE report 21778303 ↗
  • MalfunctionDec 31, 2024Material Deformation; Material Deformation

    IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE THE MICRO QA+ #3/0 ETH V-4 DEVICE ANCHOR WAS BENT FROM THE INSERTER ATTACHMENT PORTION. THERE WAS NO SURGICAL DELAY AND NO HARM TO THE PATIENT. IT IS UNKNOWN WHETHER ANOTHER DEVICE WAS AVAILABLE FOR USE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21047266 ↗
  • MalfunctionOct 22, 2024Difficult to Advance; Migration; Difficult to Advance; Migration

    IT WAS REPORTED THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE, IT WAS OBSERVED THAT THE MICRO QA+ #3/0 ETH V-4 DEVICE COULD NOT BE FIXED PROPERLY AFTER INSERTION INTO THE BONE HOLE; AND WAS DISLOCATED. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS PATIENT INVOLVEMENT. THERE WERE NO ADVERSE CONSEQUENCES TO THE PATIENT NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 20506702 ↗
  • MalfunctionApr 2, 2024Break; Break

    IT WAS REPORTED BY THE SALES REP THAT DURING A COLLATERAL LIGAMENT REPAIR SURGICAL PROCEDURE ON (B)(6) 2024 THE MICRO QA+ #3/0 ETH V-4 DEVICE NEEDLES HAD SUTURE WHICH WERE BROKEN MID SURGERY AND THE SUTURE WAS NOT ATTACHED TO THE NEEDLE. THE USER HAD TO POP THE ITEM TO TAKE THE SUTURE BACK. THERE WAS A TWO MINUTE SURGICAL DELAY TO THE SURGICAL PROCEDURE. THERE WERE NO PATIENT CONSEQUENCES. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19023064 ↗
  • MalfunctionMar 19, 2024Device Damaged Prior to Use; Detachment of Device or Device Component; Device Damaged Prior to Use; Detachment of Device or Device Component

    IT WAS REPORTED FROM INDIA THAT THE THAT THE MICRO QA+ #3/0 ETH V-4 DEVICE ANCHOR IMPLANT WAS OPENED THE ANCHOR WAS DISLODGED FROM THE INSERTION TAB AND HENCE THE SURGEON WAS NOT ABLE TO DEPLOY THE ANCHOR. DURING AN IN-HOUSE ENGINEERING EVALUATION, IT WAS DETERMINED THAT THE ANCHOR IS DETACHED FROM THE INSERTER TIP. THE TRANSPARENT SLEEVE THAT HOLDS THE ANCHOR WAS FOUND COMPLETELY RETRACTED. IT WAS NOT REPORTED IF THERE WERE ANY DELAYS IN THE SURGICAL PROCEDURE, OR IF A SPARE DEVICE WAS AVAILABLE FOR USE. IT WAS NOT REPORTED IF THERE WERE ANY INJURIES, MEDICAL INTERVENTION OR PROLONGED HOSPITALIZATION. ALL AVAILABLE INFORMATION HAS BEEN DISCLOSED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18928530 ↗
  • MalfunctionMar 7, 2024Device Damaged Prior to Use; Contamination /Decontamination Problem; Device Damaged Prior to Use; Contamination /Decontamination Problem

    IT WAS REPORTED BY THE SALES REP THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE, THE MICRO QA+ #3/0 ETH V-4 DEVICE ANCHOR IN QUESTION WAS ALREADY OFF THE INSERTER WHEN THE PACKAGE OF THE ANCHOR WAS OPENED. DURING AN IN-HOUSE ENGINEERING EVALUATION, IT WAS DETERMINED THAT THE DEVICE HAD FOREIGN SUBSTANCE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18857378 ↗
  • MalfunctionFeb 28, 2024Difficult to Advance; Difficult to Advance

    IT WAS REPORTED FROM JAPAN THAT DURING A UNKNOWN HAND PROCEDURE ON (B)(6) 2024, A MICRO QA+ #3/0 ETH V-4 DEVICE WAS USED FOR PHALANGEAL SUTURING. ACCORDING TO THE REPORT, THE ANCHOR IN QUESTION WAS NOT FIRMLY FIXED AND COULD NOT BE USED FOR SURGERY. THE SURGEON PULLED THE SUTURE ON THE HANDLE SIDE AND ATTEMPTED TO FIX IT; HOWEVER, IT DID NOT WORK. THEREFORE, A NEW DEVICE WAS USED FOR SURGERY. THERE WAS NO SURGICAL DELAY AND NO HARM TO THE PATIENT. NO FURTHER INFORMATION IS AVAILABLE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18802159 ↗
  • MalfunctionFeb 21, 2024Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED BY THE SALES REP IN JAPAN THAT DURING AN UNSPECIFIED SURGICAL PROCEDURE ON (B)(6) 2024 THE MICRO QA+ #3/0 ETH V-4 DEVICE ANCHOR IN QUESTION CAME OFF FROM THE INSERTER. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18748213 ↗
  • MalfunctionDec 6, 2023Difficult to Advance; Migration; Difficult to Advance; Migration

    IT WAS REPORTED FROM JAPAN BY THE SALES REP THAT DURING A FINGER SURGICAL PROCEDURE ON (B)(6) 2023 THE MICRO QA DEVICE ANCHORS WERE NOT ABLE TO BE DEPLOYED PROPERLY AND CAME OUT. ALL THE ANCHORS THAT CAME OUT WERE REMOVED. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18275085 ↗
  • MalfunctionOct 12, 2023Difficult to Advance; Difficult to Advance

    IT WAS REPORTED BY THE AFFILIATE IN JAPAN THAT DURING AN UNSPECIFIED PROCEDURE FOR HALLUX VALGUS ON (B)(6) 2023 THE MICRO QA+ #3/0 ETH V-4 DEVICE WAS BEING USED WHEN THE ANCHOR WOULD NOT FIX PROPERLY. THE DEVICE DID NOT REMAIN IN THE PATIENT'S BODY. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO DELAY IN THE PROCEDURE REPORTED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17920812 ↗
  • MalfunctionOct 11, 2023Detachment of Device or Device Component; Detachment of Device or Device Component

    IT WAS REPORTED FROM THE AFFILIATE IN JAPAN THAT DURING AN UNKNOWN SURGERY PERFORMED ON (B)(6) 2023. THE MICRO QA+ #3/0 ETH V-4 DEVICE CAME OFF WHEN PRESSURE WAS APPLIED. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17913973 ↗
  • MalfunctionOct 10, 2023Detachment of Device or Device Component; Material Deformation; Detachment of Device or Device Component; Material Deformation

    IT WAS REPORTED BY THE AFFILIATE IN JAPAN THAT DURING AN UNKNOWN PROCEDURE ON (B)(6) 2023, IT WAS OBSERVED THAT THE TIP ON THE MICRO QUICKANCHOR PLUS PRELOADED WITH 3/0 ETHIBOND SUTURE AND V-4 NEEDLES BECAME DEFORMED UPON INSERTION INTO THE BURR HOLE THEN CAME OFF. IT WAS UNKNOWN IF AND HOW THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITHIN 30 MINUTES DELAY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17906943 ↗
  • MalfunctionAug 31, 2023Break; Break

    THIS IS REPORT 2 OF 2 FOR (B)(4). IT WAS REPORTED BY THE AFFILIATE IN JAPAN THAT DURING AN UNKNOWN PROCEDURE ON (B)(6) 2023, TWO MICRO QUICKANCHOR PLUS PRELOADED WITH 3/0 ETHIBOND SUTURE AND V-4 NEEDLES DEVICES WERE USED. ACCORDING TO THE REPORT, THE SUTURE SNAPPED WHILE MAKING A KNOT AFTER DEPLOYING THE ANCHOR AND WAS REMOVED FROM THE PATIENT'S BODY. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE SUCCESSFULLY WITHIN 30 MINUTES DELAY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17662705 ↗
  • MalfunctionAug 31, 2023Break; Break

    THIS IS REPORT 1 OF 2 FOR (B)(4). IT WAS REPORTED BY THE AFFILIATE IN JAPAN THAT DURING AN UNKNOWN PROCEDURE ON (B)(6) 2023, TWO MICRO QUICKANCHOR PLUS PRELOADED WITH 3/0 ETHIBOND SUTURE AND V-4 NEEDLES DEVICES WERE USED. ACCORDING TO THE REPORT, THE SUTURE SNAPPED WHILE MAKING A KNOT AFTER DEPLOYING THE ANCHOR AND WAS REMOVED FROM THE PATIENT'S BODY. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE SUCCESSFULLY WITHIN 30 MINUTES DELAY. THERE WERE NO ADVERSE PATIENT CONSEQUENCES REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17662702 ↗
  • MalfunctionAug 29, 2023Difficult to Advance; Difficult to Advance

    IT WAS REPORTED BY THE AFFILIATE IN JAPAN THAT DURING AN UNKNOWN PROCEDURE ON (B)(6) 2023, IT WAS OBSERVED THAT THE MICRO QUICKANCHOR PLUS PRELOADED WITH 3/0 ETHIBOND SUTURE AND V-4 NEEDLES DEVICE COULD NOT BE INSERTED PROPERLY. IT WAS UNKNOWN IF AND HOW THE PROCEDURE WAS COMPLETED. THERE WERE NO ADVERSE PATIENT CONSEQUENCES NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17646026 ↗
  • MalfunctionJun 16, 2023Device Damaged Prior to Use; Device Damaged Prior to Use

    IT WAS REPORTED BY A HEALTHCARE PROFESSIONAL IN CHINA THAT PREOPERATIVELY TO AN UNKNOWN PROCEDURE ON (B)(6) 2023, IT WAS OBSERVED THAT THE ANCHOR WAS DETACHED FROM THE SHAFT ON THE MICRO QUICKANCHOR PLUS PRELOADED WITH 3/0 ETHIBOND SUTURE AND V-4 NEEDLES DEVICE UPON OPENING ITS PACKAGE. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17146494 ↗
  • MalfunctionFeb 7, 2023Break; Break

    IT WAS REPORTED BY THE SALES REP THAT DURING AN UNKNOWN PROCEDURE OF THE FINGER ON (B)(6) 2023, IT WAS OBSERVED THAT THE MICRO QUICKANCHOR PLUS PRELOADED WITH 3/0 ETHIBOND SUTURE AND V-4 NEEDLES BROKE. ANOTHER LIKE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WERE NO ADVERSE PATIENT CONSEQUENCES NOR SURGICAL DELAY REPORTED. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16311924 ↗

Other Screw, fixation, bone devices

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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.