FDA Adverse Event Malfunction Summary report: N

T10 HEXALOBE, CMP FT

MDR report key: 18436241 · Received January 3, 2024

Report

Report Number
1220246-2024-00037
Event Type
Malfunction
Date Received
January 3, 2024
Date of Event
November 30, 2023
Report Date
December 2, 2024
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867127166
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION. COMPLAINT CONFIRMED. ONE UNPACKED AR-8737-38 SERIAL/BATCH NUMBER (B)(6) WAS RECEIVED FOR INVESTIGATION. VISUAL INSPECTION FOUND THAT THE HEX TIP OF THE DRIVER WAS BROKEN OFF. NO FUNCTIONAL TESTING WAS PERFORMED DUE TO THE DAMAGE TO THE DEVICE. A TORQUE-LIMITING HANDLE OR MODULAR TORQUE-LIMITING ADAPTER IS RECOMMENDED FOR USE WITH THE DEVICE TO PREVENT OVER-TORQUING. THE MOST LIKELY CAUSE IS ATTRIBUTED TO USE ERROR OVER-TORQUING/OVER-ENGAGING THE DRIVER WITH THE SCREW HEAD.

Additional Manufacturer Narrative · 0

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF FURTHER INFORMATION.

Description of Event or Problem · 0

ON 12/5/2023, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA EMAIL THAT AN AR-8737-38 T10 HEX DRIVER BROKE. THIS WAS DISCOVERED DURING A PROCEDURE ON (B)(6) 2023. ADDITIONAL INFORMATION REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
761744 T10 HEXALOBE, CMP FT ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. T10 HEXALOBE, CMP FT UNK 00888867127166

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown