FDA Adverse Event Malfunction Summary report: N

EASY-OUT, MICRO COMPRESSION FT

MDR report key: 12984855 · Received December 13, 2021

Report

Report Number
1220246-2021-04110
Event Type
Malfunction
Date Received
December 13, 2021
Date of Event
November 22, 2021
Report Date
December 13, 2021
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867263802
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE CONTRIBUTION OF THE DEVICE TO THE REPORTED EVENT COULD NOT BE DETERMINED AS THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED FROM THE INFORMATION AVAILABLE AND WITHOUT DEVICE EVALUATION. IF THE DEVICE BECOMES AVAILABLE FOR EVALUATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

THE CONTRIBUTION OF THE DEVICE TO THE REPORTED EVENT COULD NOT BE DETERMINED AS THE DEVICE WAS NOT RETURNED FOR EVALUATION. THE ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED FROM THE INFORMATION AVAILABLE AND WITHOUT DEVICE EVALUATION. IF THE DEVICE BECOMES AVAILABLE FOR EVALUATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

ON 11/24/2021, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA E-MAIL THAT A AR-8737-37 SHAFT TIP BROKE OFF, AND A AR-8737-61 SCREW REMOVER TIP BROKE. THIS OCCURRED ON (B)(6) 2021 DURING A METACARPAL FRACTURE WHILE INSERTING THE 2.5MMX50MM INTO THE 4TH METACARPAL THE CANAL OF THE METACARPAL IT WAS VERY TIGHT. THE METACARPAL WAS PREPARED WITH THE CORRECT CORRESPONDING DRILL BIT FOR THE 2.5MM HEADLESS COMPRESSION FT SCREW. WHILE INSERTING THE SCREW THE CANNULATED SCREW DRIVER TIP (AR-8737-37) BROKE OFF AND WAS THEN REMOVED. THE SURGEON THEN PROCEEDED TO USE THE SOLID SCREW DRIVER IN THE SET TO CONTINUE INSERTING THE SCREW. THE SCREW BECAME TIGHT IN THE SHAFT OF THE 4TH METACARPAL AND OF THE APPROXIMATELY 4MM OF THE SCREW BROKE. THE HEADLESS, BROKEN PORTION OF THE SCREW WAS REMOVED. THE SURGEON CONTINUE USING THE CORRESPONDING EASY OUT (AR-8737-61) TO TRY AND REMOVE THE PORTION OF THE SCREW THAT WAS STILL IN THE 4TH METACARPAL, AND THE EASY OUT TIP BROKE UPON TRYING TO REMOVE THE SCREW AND THE SMALL PORTION OF THE TIP WAS LEFT INSIDE OF THE CANNULATED PORTION OF THE SCREW. THE SCREW WAS LEFT IN THE 4TH METACARPAL AS COMPRESSION ACROSS THE FRACTURE SITE WAS ACHIEVED. THE SCREW REMAINS IN THE PATIENT.

Description of Event or Problem · 0

ON 11/24/2021, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA E-MAIL THAT A AR-8737-37 SHAFT TIP BROKE OFF, AND A AR-8737-61 SCREW REMOVER TIP BROKE. THIS OCCURRED ON (B)(6) 2021 DURING A METACARPAL FRACTURE WHILE INSERTING THE 2.5MMX50MM INTO THE 4TH METACARPAL THE CANAL OF THE METACARPAL IT WAS VERY TIGHT. THE METACARPAL WAS PREPARED WITH THE CORRECT CORRESPONDING DRILL BIT FOR THE 2.5MM HEADLESS COMPRESSION FT SCREW. WHILE INSERTING THE SCREW THE CANNULATED SCREW DRIVER TIP (AR-8737-37) BROKE OFF AND WAS THEN REMOVED. THE SURGEON THEN PROCEEDED TO USE THE SOLID SCREW DRIVER IN THE SET TO CONTINUE INSERTING THE SCREW. THE SCREW BECAME TIGHT IN THE SHAFT OF THE 4TH METACARPAL AND OF THE APPROXIMATELY 4MM OF THE SCREW BROKE. THE HEADLESS, BROKEN PORTION OF THE SCREW WAS REMOVED. THE SURGEON CONTINUE USING THE CORRESPONDING EASY OUT (AR-8737-61) TO TRY AND REMOVE THE PORTION OF THE SCREW THAT WAS STILL IN THE 4TH METACARPAL, AND THE EASY OUT TIP BROKE UPON TRYING TO REMOVE THE SCREW AND THE SMALL PORTION OF THE TIP WAS LEFT INSIDE OF THE CANNULATED PORTION OF THE SCREW. THE SCREW WAS LEFT IN THE 4TH METACARPAL AS COMPRESSION ACROSS THE FRACTURE SITE WAS ACHIEVED. THE SCREW REMAINS IN THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1879944 EASY-OUT, MICRO COMPRESSION FT ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH ARTHREX, INC. EASY-OUT, MICRO COMPRESSION FT 00888867263802

Patients

Seq Age Sex Outcome Treatment
1 Unknown