Brand Name | DISSECTOR, SJ 3.0MM X 7CM |
Type of Device | BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL |
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 | 14135475 |
MDR Text Key | 298907209 |
Report Number | 1220246-2022-04739 |
Device Sequence Number | 1 |
Product Code |
GFA
|
UDI-Device Identifier | 00888867041943 |
UDI-Public | 00888867041943 |
Combination Product (y/n) | N |
Reporter Country Code | CI |
PMA/PMN Number | EXEMPT |
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 |
Report Date |
06/07/2023 |
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 | DISSECTOR, SJ 3.0MM X 7CM |
Device Catalogue Number | AR-7300DS |
Device Lot Number | 13735464 |
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
03/29/2022 |
Initial Date FDA Received | 04/18/2022 |
Supplement Dates Manufacturer Received | 03/29/2022
|
Supplement Dates FDA Received | 06/07/2023
|
Date Device Manufactured | 07/16/2021 |
Is the Device Single Use? |
Yes
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
|
|