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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEPUY MITEK LLC US ARTHRO SUTURE SCISSORS; CUTTER, SURGICAL

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DEPUY MITEK LLC US ARTHRO SUTURE SCISSORS; CUTTER, SURGICAL Back to Search Results
Catalog Number 214605
Medical Device Problem Codes Degraded (1153); Material Deformation (2976)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/10/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by depuy synthes, or its employees that the report constitutes an admission that the product, depuy synthes, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.H11 additional narrative: as of this date, the device has not been returned for evaluation; therefore, the reported condition cannot be confirmed and/or duplicated, and no conclusion can be drawn at this time.
 
Event or Problem Description
I was reported that the blades were out of alignment on the arthro suture scissors device and unable to cut.It was not reported if the device was used in surgery.There were no reports of surgical delay.There were no reports of injuries, medical intervention or prolonged hospitalization.All available information has been disclosed.
 
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Brand Name
ARTHRO SUTURE SCISSORS
Common Device Name
CUTTER, SURGICAL
Manufacturer (Section D)
DEPUY MITEK LLC US
325 paramount drive
raynham MA 02767
Manufacturer Contact
elba bello
325 paramount drive
raynham, MA 02767
9083863534
MDR Report Key25222040
Report Number1221934-2026-02101
Device Sequence Number21350431
Product Code FZT
UDI-Device Identifier10886705003884
UDI-Public(01)10886705003884(10)4C4
Combination Product (Y/N)N
Initial Reporter StateWI
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup,Followup
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 Catalogue Number214605
Device Lot Number4C4
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/08/2026
Supplement Date Received by Manufacturer06/03/2026
06/09/2026
Initial Report FDA Received Date05/19/2026
Supplement Report FDA Received Date06/04/2026
06/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/25/2004
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 Unknown
Patient Sequence Number1
Patient SexUnknown
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