| Brand Name | CUP GRASPER, TEETH, 2.5 X 330MM |
| Common Device Name | RONGEUR |
| 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 | 24520457 |
| Report Number | 1220246-2026-01262 |
| Device Sequence Number | 18572952 |
| Product Code |
LXH
|
| UDI-Device Identifier | 00888867427501 |
| UDI-Public | (01)00888867427501(11)230801(10)01561157 |
| Combination Product (Y/N) | N |
| Initial Reporter State | RI |
| Initial Reporter Country | US |
| PMA/510(K) Number | EXEMPT |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
07/06/2026 |
| 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 Number | CUP GRASPER, TEETH, 2.5 X 330MM |
| Device Catalogue Number | AR-S7120-025-330 |
| Device Lot Number | 01561157 |
| Was Device Available for Evaluation? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 02/12/2026 |
| Supplement Date Received by Manufacturer | 06/29/2026
|
| Initial Report FDA Received Date | 03/05/2026 |
| Supplement Report FDA Received Date | 07/06/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 08/01/2023 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|