Brand Name | BIO-COMP SWVLK SP, 4.75X24.5MM |
Type of Device | FASTENER, FIXATION, BIODEGRADABLE, SOFT TISSUE |
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 | 7614027 |
MDR Text Key | 111483902 |
Report Number | 1220246-2018-00505 |
Device Sequence Number | 1 |
Product Code |
MAI
|
UDI-Device Identifier | 00888867026865 |
UDI-Public | 00888867026865 |
Combination Product (y/n) | N |
Reporter Country Code | GM |
PMA/PMN Number | K101823 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,foreig |
Reporter Occupation |
Other
|
Type of Report
| Initial,Followup |
Report Date |
10/12/2018 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 06/19/2018 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
No Information
|
Device Model Number | BIO-COMP SWVLK SP, 4.75X24.5MM |
Device Catalogue Number | AR-2324BCM |
Device Lot Number | F159278 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 10/02/2018 |
Is the Reporter a Health Professional? |
No
|
Date Manufacturer Received | 06/05/2018 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
Yes
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|