| Brand Name | Arcadia¿ |
| Common Device Name | Inflatable bone tamp |
| Manufacturer (Section D) |
| MERIT MEDICAL SYSTEMS |
| 1600 w merit parkway |
| south jordan UT 84095 |
|
| Manufacturer (Section G) |
| MERIT MEDICAL SYSTEMS |
| 1600 w merit parkway |
|
| south jordan UT 84095 |
|
| Manufacturer Contact |
|
lisa
perz msn, rn, pmp
|
| 1600 merit parkway |
| south jordan, UT 84095
|
|
+1(801)208-4225
|
|
| MDR Report Key | 50421352 |
| Report Number | 1721504-2026-00409 |
| Device Sequence Number | 10660049 |
| Product Code |
HRX
|
| UDI-Device Identifier | 00884450815465 |
| UDI-Public | 00884450815465 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NY |
| Initial Reporter Country | US |
| PMA/510(K) Number | K191596 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
User Facility,Company Representative |
| Type of Report
| Initial |
| Report Date (Section B) |
08/24/2026 |
| 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
|
| Device Catalogue Number | ARC15SB-LK/F |
| Device Lot Number | H3532549 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 08/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/10/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|