Brand Name | ECLIPSE CAGE SCREW S, 30MM |
Type of Device | TOTAL SHOULDER ARTHROPLASTY SYSTEM |
Manufacturer (Section D) |
ARTHREX, INC. |
1370 creekside boulevard |
naples FL 34108 1945 |
|
Manufacturer (Section G) |
ARTHREX, INC. |
1370 creekside boulevard |
|
naples FL 34108 1945 |
|
Manufacturer Contact |
|
MDR Report Key | 14337441 |
MDR Text Key | 291325003 |
Report Number | 1220246-2022-04887 |
Device Sequence Number | 1 |
Product Code |
QHQ
|
UDI-Device Identifier | 00888867059924 |
UDI-Public | 00888867059924 |
Combination Product (y/n) | N |
Reporter Country Code | AU |
PMA/PMN Number | K183194 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Company Representative |
Reporter Occupation |
Administrator/Supervisor
|
Type of Report
| Initial |
Report Date |
05/09/2022 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 05/09/2022 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Expiration Date | 06/30/2018 |
Device Model Number | ECLIPSE CAGE SCREW S, 30MM |
Device Catalogue Number | AR-9301-01 |
Device Lot Number | 2501313408 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 04/20/2022 |
Is the Device Single Use? |
Yes
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|