Brand Name | SYNERGY RESECTION SHAVER CONSOLE |
Type of Device | INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT |
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 | 11761728 |
MDR Text Key | 250949017 |
Report Number | 1220246-2021-03013 |
Device Sequence Number | 1 |
Product Code |
HWE
|
UDI-Device Identifier | 00888867123854 |
UDI-Public | 00888867123854 |
Combination Product (y/n) | N |
Reporter Country Code | KS |
PMA/PMN Number | K932699 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Company Representative |
Reporter Occupation |
Administrator/Supervisor
|
Type of Report
| Initial,Followup,Followup |
Report Date |
06/06/2023 |
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 Number | SYNERGY RESECTION SHAVER CONSOLE |
Device Catalogue Number | AR-8305 |
Was Device Available for Evaluation? |
Yes
|
Initial Date Manufacturer Received |
04/12/2021 |
Initial Date FDA Received | 05/03/2021 |
Supplement Dates Manufacturer Received | 04/12/2021 04/12/2021
|
Supplement Dates FDA Received | 09/08/2021 06/06/2023
|
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |