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 |