Brand Name | ACL TIGHTROPE RT W/ DEPLOYING SUTURE |
Type of Device | PIN, FIXATION, SMOOTH |
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 | 9659030 |
MDR Text Key | 187304980 |
Report Number | 1220246-2020-01622 |
Device Sequence Number | 1 |
Product Code |
HTY
|
UDI-Device Identifier | 00888867095533 |
UDI-Public | 00888867095533 |
Combination Product (y/n) | N |
Reporter Country Code | DA |
PMA/PMN Number | K112990 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
foreign,health professional,u |
Reporter Occupation |
Administrator/Supervisor
|
Type of Report
| Initial,Followup |
Report Date |
04/10/2020 |
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 Model Number | ACL TIGHTROPE RT W/ DEPLOYING SUTURE |
Device Catalogue Number | AR-1588RT-J |
Device Lot Number | 10334028 |
Was Device Available for Evaluation? |
Yes
|
Initial Date Manufacturer Received |
01/14/2020
|
Initial Date FDA Received | 02/03/2020 |
Supplement Dates Manufacturer Received | 01/14/2020
|
Supplement Dates FDA Received | 04/10/2020
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 07/10/2019 |
Is the Device Single Use? |
Yes
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|