inforMED
MalfunctionHST

3-POINT SHOULDER DISTRACTION SYSTEM

Received May 29, 2024 · Event occurred Jul 23, 2021

Report 1220246-2024-04292 · MDR key 19420203

Device

Generic name

Traction Apparatus

Manufacturer

Arthrex, Inc.

Catalog number

AR-1600M

Lot number

12777944

Product problems

  • Defective Device
  • Defective Device

Patient

NA · Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Additional Manufacturer Narrative

THIS 3500A RECORD IS SUBMITTED TO COMPLY WITH AN FDA 483 INSPECTIONAL OBSERVATION ISSUED TO ARTHREX INC ON (B)(6)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 COMPLAINT DEVICE WAS NOT RECEIVED FOR EVALUATION. BASED ON THE INFORMATION PROVIDED, THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE/MISHANDLING CAUSING DAMAGE TO THE DEVICE DURING SETUP.

Description of Event or Problem

ON (B)(6)2021, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS THAT AR-1600M 3-POINT SHOULDER DISTRACTION SYSTEM IT DOES NOT LOCK.