FDA Adverse Event Malfunction Summary report: N

PLATE CUTTER

MDR report key: 19358787 · Received May 21, 2024

Report

Report Number
1220246-2024-03571
Event Type
Malfunction
Date Received
May 21, 2024
Date of Event
October 18, 2022
Report Date
May 21, 2024
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867317833
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS 3500A RECORD IS SUBMITTED TO COMPLY WITH AN FDA 483 INSPECTIONAL OBSERVATION ISSUED TO ARTHREX INC ON MAY 5, 2023. ARTHREX HAS REASSESSED THE REPORTABILITY DECISIONS MADE ON HISTORICAL COMPLAINT RECORDS USING REVISED CRITERION. THIS 3500A DOCUMENT IS A RESULT OF THE REASSESSMENT. THE DEVICE WAS NOT RECEIVED FOR EVALUATION AND NO PHOTO WAS PROVIDED; COMPLAINT NOT CONFIRMED. THE MOST LIKELY PROBABLE CAUSE OF THE EVENT IS ATTRIBUTED TO USE ERROR.

Description of Event or Problem · 0

IT WAS REPORTED ON 10/18/2022 BY A SALES REPRESENTATIVE VIA SEMS THAT AN AR-18700-28 PLATE CUTTER IS MALFUNCTIONING NON-SPECIFICALLY. THIS WAS DISCOVERED DURING AN UNSPECIFIED TIME WITH NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1427858 PLATE CUTTER ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. PLATE CUTTER 672103 00888867317833

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown