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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. SHAVER HP, SYNERGY, HANDCONTROL; POWERED SURG ORTHOPEDIC INSTR

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ARTHREX, INC. SHAVER HP, SYNERGY, HANDCONTROL; POWERED SURG ORTHOPEDIC INSTR Back to Search Results
Model Number SHAVER HP, SYNERGY, HANDCONTROL
Medical Device Problem Code Device Contamination with Body Fluid (2317)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/28/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(no problem found) the evaluation did not reveal any issues relevant to the reported event, "an ar-8332h shaver was found with bioburden in them.
 
Event or Problem Description
On 05/28/2024, it was reported by a sales representative via (b)(4) that an ar-8332h shaver was found with bio-burden in them.Discovered in case, patient not affected.
 
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Brand Name
SHAVER HP, SYNERGY, HANDCONTROL
Common Device Name
POWERED SURG ORTHOPEDIC INSTR
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
jared engle
8009337001
MDR Report Key19593752
Report Number1220246-2024-06369
Device Sequence Number19825915
Product Code HWE
UDI-Device Identifier00888867123991
UDI-Public00888867123991
Combination Product (Y/N)N
Initial Reporter StateOH
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 06/24/2024
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
Operator of Device Health Professional
Device Model NumberSHAVER HP, SYNERGY, HANDCONTROL
Device Catalogue NumberAR-8332H
Device Lot Number14978619
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/06/2024
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/28/2024
Initial Report FDA Received Date06/24/2024
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured07/18/2022
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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