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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DISSECTOR, SJ 3.0MM X 7CM; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL

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ARTHREX, INC. DISSECTOR, SJ 3.0MM X 7CM; BLADE, SAW, GENERAL & PLASTIC SURGERY, SURGICAL Back to Search Results
Model Number DISSECTOR, SJ 3.0MM X 7CM
Device Problems Melted (1385); Overheating of Device (1437); Temperature Problem (3022)
Patient Problems Insufficient Information (4580); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 11/22/2022
Event Type  malfunction  
Event Description
On (b)(6) 2022, it was reported by an arthrex employee via sems that an ar-7300ds dissector blade heated up and burned during use.This was discovered during a procedure on (b)(6) 2022.
 
Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
 
Manufacturer Narrative
The complaint is confirmed.The device was not returned for evaluation, but a photograph was provided.Evaluation of the photograph noted discoloration of the device's metal tip, consistent with an overheating event.The available photographic evidence along with usage information provided with the complaint are sufficient to determine a cause of misuse, due to no irrigation being utilized when activating the device.Since the device was activated outside the surgical site, no fluid management was present.Activation of arthroscopic shaver disposables without irrigation is not recommended, as described in directions for use dfu-0215-eo rev.1 section f.Precautions 9 and 10: "9.Irreversible damage to all devices will result if they are run without the flow of irrigation (dry).10.Running the device without the flow of irrigation (dry) will cause the device to excessively heat and may cause a thermal burn.".
 
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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
vik bajnath
8009337001
MDR Report Key15931094
MDR Text Key308185808
Report Number1220246-2022-05894
Device Sequence Number1
Product Code GFA
UDI-Device Identifier10888867041940
UDI-Public00888867041943
Combination Product (y/n)N
Reporter Country CodeBR
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Company Representative
Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date 03/07/2023
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 NumberDISSECTOR, SJ 3.0MM X 7CM
Device Catalogue NumberAR-7300DS
Device Lot Number14938312
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 11/22/2022
Initial Date FDA Received12/07/2022
Supplement Dates Manufacturer Received11/22/2022
Supplement Dates FDA Received03/07/2023
Date Device Manufactured03/10/2022
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
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