| Brand Name | FW,BPB #2 SUTR,BLU W/NDL |
| Common Device Name | POLYETHYLENE SYNTHETIC SUTURE |
| 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 | 25469644 |
| Report Number | 1220246-2026-03353 |
| Device Sequence Number | 16068828 |
| Product Code |
GAT
|
| UDI-Device Identifier | 00888867041264 |
| UDI-Public | (01)00888867041264(11)250101(17)291231(10)32493 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K122374 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Distributor |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Type of Report
| Initial |
| Report Date (Section B) |
06/11/2026 |
| 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 | FW,BPB #2 SUTR,BLU W/NDL |
| Device Catalogue Number | AR-7200 |
| Device Lot Number | 32493 |
| Was Device Available for Evaluation? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/26/2026 |
| Initial Report FDA Received Date | 06/11/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 01/01/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|