MAUDE Adverse Event Report: ARTHREX, INC. SHVR HP,SYNERGY,HANDCNTRL,BACKHAND; POWERED SURG ORTHOPEDIC INSTR

Model Number SHVR HP,SYNERGY,HANDCNTRL,BACKHAND

Device Problem Unstable (1667)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 12/19/2023

Event Type  malfunction  

Manufacturer Narrative

The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.

Event Description

On 12/19/2023, it was reported by a sales representative via sems-06435320 that an ar-8332rh shaver hand piece is wobbly.This was discovered during a procedure with no patient harm.Another device was swapped to complete the case.

Manufacturer Narrative

(no problem found) the evaluation did not reveal any issues relevant to the reported event, "on 12/19/2023, it was reported by a sales representative via (b)(4) that an ar-8332rh shaver hand piece is wobbly.This was discovered during a procedure with no patient harm.Another device was swapped to complete the case.".

• Brand Name: SHVR HP,SYNERGY,HANDCNTRL,BACKHAND
• Type of Device: POWERED SURG ORTHOPEDIC INSTR
• 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: emily shafer ; 8009337001
• MDR Report Key: 18503345
• MDR Text Key: 333167971
• Report Number: 1220246-2024-00326
• Device Sequence Number: 1
• Product Code: HWE
• UDI-Device Identifier: 00888867123991
• UDI-Public: 00888867123991
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Distributor
• Reporter Occupation: Administrator/Supervisor
• Type of Report: Initial
• Report Date: 01/12/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/12/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: SHVR HP,SYNERGY,HANDCNTRL,BACKHAND
• Device Catalogue Number: AR-8332RH
• Device Lot Number: 15112730
• Was Device Available for Evaluation?: Yes
• Date Manufacturer Received: 12/19/2023
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 07/17/2023
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Reuse
• Patient Sequence Number: 1