Brand Name | TIGHTROPE ABS, 14 MM BUTTON |
Type of Device | PIN, FIXATION, SMOOTH |
Manufacturer (Section D) |
ARTHREX, INC. |
1370 creekside boulevard |
naples FL 34108 194 |
|
Manufacturer (Section G) |
ARTHREX, INC. |
1370 creekside boulevard |
|
naples FL 34108 194 |
|
Manufacturer Contact |
vik
bajnath, sr. mdr analyst.
|
1370 creekside boulevard |
naples, FL 34108-1945
|
8009337001
|
|
MDR Report Key | 4666510 |
MDR Text Key | 5625295 |
Report Number | 1220246-2015-00084 |
Device Sequence Number | 1 |
Product Code |
HTY
|
Combination Product (y/n) | N |
Reporter Country Code | JA |
PMA/PMN Number | K112990 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Company Representative |
Reporter Occupation |
Medical Equipment Company Technician/Representative
|
Type of Report
| Initial |
Report Date |
03/12/2015 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Expiration Date | 11/01/2019 |
Device Catalogue Number | AR-1588TB-1 |
Device Lot Number | 1253037 |
Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
Date Returned to Manufacturer | 03/27/2015 |
Is the Reporter a Health Professional? |
No
|
Initial Date Manufacturer Received |
03/12/2015 |
Initial Date FDA Received | 04/08/2015 |
Was Device Evaluated by Manufacturer? |
Yes
|
Date Device Manufactured | 12/01/2014 |
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|