FDA Adverse Event
Malfunction
Summary report: N
SHAVER HP, APSII, HAND CONTROL
MDR report key: 19447769
·
Received June 3, 2024
Report
- Report Number
- 1220246-2024-04717
- Event Type
- Malfunction
- Date Received
- June 3, 2024
- Date of Event
- May 5, 2023
- Report Date
- June 3, 2024
- Manufacturer
- ARTHREX, INC.
- Product Code
- HWE
- UDI-DI
- 00888867043237
- PMA / PMN Number
- K932699
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- 501
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. (SHP CABLE) THIS EVALUATION DETERMINED THAT THE REPORTED EVENT OCCURRED DUE TO A DAMAGED SHP CABLE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO WEAR AND TEAR.
Description of Event or Problem · 0
ON 5/5/2023, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS THAT AN AR-8330H SHAVER HP HAD EXPOSED ELECTRICAL WIRES. THIS WAS DISCOVERED DURING AN UNSPECIFIED PROCEDURE, WITH NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 595033 | SHAVER HP, APSII, HAND CONTROL | POWERED SURG ORTHOPEDIC INSTR | HWE | ARTHREX, INC. | SHAVER HP, APSII, HAND CONTROL | 00888867043237 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |