MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-11 for ARTHREX? AR-13995N manufactured by Arthrex, Inc..
[178568030]
Metal tip of arthrex scorpion multifire needle broke off in shoulder during a surgical arthroscopy procedure. Xray taken and tip noted to still be in shoulder. Surgeon did not try to remove needle.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9693309 |
| MDR Report Key | 9693309 |
| Date Received | 2020-02-11 |
| Date of Report | 2020-01-27 |
| Date of Event | 2019-07-22 |
| Report Date | 2020-01-27 |
| Date Reported to FDA | 2020-01-27 |
| Date Reported to Mfgr | 2020-02-11 |
| Date Added to Maude | 2020-02-11 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ARTHREX? |
| Generic Name | INSTRUMENT, MANUAL, SURGICAL, GENERAL USE |
| Product Code | MDM |
| Date Received | 2020-02-11 |
| Model Number | AR-13995N |
| Catalog Number | AR-13995N |
| Lot Number | 10291516 |
| Device Availability | * |
| Device Age | 1 DA |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ARTHREX, INC. |
| Manufacturer Address | 1370 CREEKSIDE BLVD NAPLES FL 34108 US 34108 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-11 |