MAUDE Adverse Event Report: ARTHREX, INC. SLIDER W/HK FOR AR-8943-15 DEPTH DEV; MANUAL INSTR, GENERAL SURGICAL

Model Number SLIDER W/HK FOR AR-8943-15 DEPTH DEV

Device Problem Break (1069)

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

Event Date 03/01/2024

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.Investigation is in process.A follow-up report will be provided upon availability of additional information.

Event Description

On (b)(6) 2024, it was reported by a sales representative via sems-06502765 that an ar-8943-15-1 slider measuring needle broke.Swapped device to complete.This occurred during use in a case with no patient effect.

• Brand Name: SLIDER W/HK FOR AR-8943-15 DEPTH DEV
• Type of Device: MANUAL INSTR, GENERAL SURGICAL
• 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: jared engle ; 8009337001
• MDR Report Key: 18923771
• MDR Text Key: 337904417
• Report Number: 1220246-2024-01538
• Device Sequence Number: 1
• Product Code: MDM
• UDI-Device Identifier: 00888867132290
• UDI-Public: 00888867132290
• 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: 03/18/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 03/18/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: SLIDER W/HK FOR AR-8943-15 DEPTH DEV
• Device Catalogue Number: AR-8943-15-1
• Device Lot Number: 012351
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 03/01/2024
• Was Device Evaluated by Manufacturer?: No
• 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