| Brand Name | SUTR ANCH,CRKSCRW FT,3.5X 10MM |
| Common Device Name | BONE FIXATION SCREW/PLATE |
| 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 | 24662481 |
| Report Number | 1220246-2026-01588 |
| Device Sequence Number | 18441180 |
| Product Code |
HWC
|
| UDI-Device Identifier | 00888867022607 |
| UDI-Public | (01)00888867022607(11)241216(17)291130(10)15362523 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K061863 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Company Representative |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
06/17/2026 |
| 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 | SUTR ANCH,CRKSCRW FT,3.5X 10MM |
| Device Catalogue Number | AR-1915FT |
| Device Lot Number | 15362523 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Distributor Facility Aware Date | 03/03/2026 |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/03/2026 |
| Supplement Date Received by Manufacturer | 06/16/2026
|
| Initial Report FDA Received Date | 03/23/2026 |
| Supplement Report FDA Received Date | 06/17/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/16/2024 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |