| Brand Name | ARTHREX AR-300,HANDPIECE |
| Common Device Name | INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT |
| Manufacturer (Section D) |
| ARTHREX, INC. |
| 1370 creekside boulevard |
| naples FL 34108 1945 |
|
| MDR Report Key | 10028206 |
| Report Number | 1220246-2020-01821 |
| Device Sequence Number | 3122666 |
| Product Code |
HWE
|
| UDI-Device Identifier | 00888867099357 |
| UDI-Public | 00888867099357 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | RS |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
foreign,health professional,u |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
08/31/2020 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Model Number | ARTHREX AR-300,HANDPIECE |
| Device Catalogue Number | AR-300 |
| Device Lot Number | 10158550 |
| Was Device Available for Evaluation? |
Yes
|
| Initial Date Received by Manufacturer | 04/14/2020 |
| Supplement Date Received by Manufacturer | 04/14/2020
|
| Initial Report FDA Received Date | 05/06/2020 |
| Supplement Report FDA Received Date | 08/31/2020
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
|
|