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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. APOLLO RF 90° MULTIPORT; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES

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ARTHREX, INC. APOLLO RF 90° MULTIPORT; ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES Back to Search Results
Model Number APOLLO RF 90° MULTIPORT
Device Problems Melted (1385); Defective Component (2292)
Patient Problems Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/07/2023
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
It was reported that during knee surgery, the electrode melted.There was no harm to the patient, operator, or third party reported.The surgery was finished successfully with a new device with the same part number.It was not necessary to switch the surgical technique or do a second surgery.
 
Manufacturer Narrative
Complaint is confirmed.Functional testing was not performed due to the damage of the device.Visual evaluation found that the aspirating probe electrode face was detached.This is a known manufacturing issue.Refer to ncr-20813.Refer to investigation photos.
 
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Brand Name
APOLLO RF 90° MULTIPORT
Type of Device
ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES
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
vik bajnath
8009337001
MDR Report Key16484902
MDR Text Key310697236
Report Number1220246-2023-06380
Device Sequence Number1
Product Code GEI
UDI-Device Identifier00888867248243
UDI-Public00888867248243
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K161581
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,User Facility
Reporter Occupation Pharmacist
Type of Report Initial,Followup
Report Date 08/24/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberAPOLLO RF 90° MULTIPORT
Device Catalogue NumberAR-9811
Device Lot Number67287036
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/14/2023
Initial Date FDA Received03/06/2023
Supplement Dates Manufacturer Received02/14/2023
Supplement Dates FDA Received08/24/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured11/01/2022
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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