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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Arthrex, Inc. DW ARTHROSCOPY FLUID MANAGEMENT DEV; ARTHROSCOPE AND ACCESSORIES

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Arthrex, Inc. DW ARTHROSCOPY FLUID MANAGEMENT DEV; ARTHROSCOPE AND ACCESSORIES Back to Search Results
Model Number DW ARTHROSCOPY FLUID MANAGEMENT DEV
Medical Device Problem Code Suction Problem (2170)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/26/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during a surgery a suction problem has occurred.Per complaint reporter there was no harm for patient, operator or third party.No further information received.
 
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
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Brand Name
DW ARTHROSCOPY FLUID MANAGEMENT DEV
Common Device Name
ARTHROSCOPE AND ACCESSORIES
Manufacturer (Section D)
Arthrex, Inc.
1370 creekside boulevard
naples FL 34108 -194
Manufacturer (Section G)
Arthrex, Inc.
1370 creekside boulevard
naples FL 34108 -194
Manufacturer Contact
jared engle
+1(800)933-7001
MDR Report Key50713132
Report Number1220246-2026-04655
Device Sequence Number21346358
Product Code HRX
UDI-Device Identifier00888867039377
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K083707
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial
Report Date (Section B) 09/10/2026
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 NumberDW ARTHROSCOPY FLUID MANAGEMENT DEV
Device Catalogue NumberAR-6480
Device Lot Number21910095
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/27/2026
Initial Report FDA Received Date09/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/13/2019
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 Number1
Patient SexUnknown
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