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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. SHAVER HP, APSII, HAND CONTROL; POWERED SURG ORTHOPEDIC INSTR

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ARTHREX, INC. SHAVER HP, APSII, HAND CONTROL; POWERED SURG ORTHOPEDIC INSTR Back to Search Results
Model Number SHAVER HP, APSII, HAND CONTROL
Medical Device Problem Code Defective Device (2588)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/17/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(motor/use error) the evaluation confirmed the reported event "handpiece displayed an error code" most likely due to the motor failure, while the complaint of "overheating" was not confirmed but most likely due to use error.(refer to ncr-22401).
 
Event or Problem Description
On 07/17/2024 it was reported by a sales representative via (b)(4) that an ar-8330h shaver handpiece displayed an error code when it was being used and also overheated while in use.This was discovered during the case with no patient harm.
 
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Brand Name
SHAVER HP, APSII, HAND CONTROL
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 Key19939434
Report Number1220246-2024-07099
Device Sequence Number7331898
Product Code HWE
UDI-Device Identifier00888867043237
UDI-Public00888867043237
Combination Product (Y/N)N
Initial Reporter StateIN
Initial Reporter CountryUS
PMA/510(K) Number
K932699
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date (Section B) 08/08/2024
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, APSII, HAND CONTROL
Device Catalogue NumberAR-8330H
Device Lot Number14939886
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/29/2024
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/05/2024
Initial Report FDA Received Date08/08/2024
Was Device Evaluated by Manufacturer? (Y/N) Device Not Returned to Manufacturer
Date Device Manufactured03/24/2022
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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