3-POINT SHOULDER DISTRACTION SYSTEM
Received May 29, 2024 · Event occurred Mar 18, 2022
Report 1220246-2024-04212 · MDR key 19416120
Device
Generic name
Traction Apparatus
Manufacturer
Arthrex, Inc.Model number
3-POINT SHOULDER DISTRACTION SYSTEMCatalog number
AR-1600M
Lot number
1382
Product problems
- Break
- Break
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
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. "PER CUSTOMER DEVICE WILL NOT BE RETURNED. PER (B)(4), SERVICE ENTITLEMENT NOT EXECUTED. " THE CONTRIBUTION OF THE DEVICE TO THE REPORTED EVENT COULD NOT BE DETERMINED AS THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO USER-APPLIED EXCESSIVE MECHANICAL FORCES.
Description of Event or Problem
ON 03/18/2022, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS THAT A AR-1600M LIMB POSITIONER IS BROKEN, THE CABLE SNAPPED ON THE WEIGHT HOLDER. THIS OCCURRED DURING AN UNKNOWN CASE WITH NO PATIENT EFFECT REPORTED.