FDA Adverse Event
Malfunction
Summary report: N
DRIVER SHAFT, T4, SELF RETAINING,MINI AO
MDR report key: 20426726
·
Received October 11, 2024
Report
- Report Number
- 1220246-2024-08094
- Event Type
- Malfunction
- Date Received
- October 11, 2024
- Date of Event
- September 20, 2024
- Report Date
- July 7, 2025
- Manufacturer
- ARTHREX, INC.
- Product Code
- LXH
- UDI-DI
- 00888867313781
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- 501
Narratives
Additional Manufacturer Narrative · 0
INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.
Additional Manufacturer Narrative · 0
ADDITIONAL INFORMATION: BASED ON THE INFORMATION PROVIDED WHICH MAY INCLUDE THE DEVICE (IF AVAILABLE AND RETURNED), PICTURES, VIDEOS, EVENT DESCRIPTION, AND ANY ADDITIONAL INFORMATION FROM THE FIELD, ARTHREX WAS ABLE TO CONCLUDE A MOST LIKELY CAUSE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO USER ERROR OF THE DEVICE DUE TO OVER-TORQUING/OVER-ENGAGING THE DRIVER WITH THE SCREW HEAD.
Description of Event or Problem · 0
ON 09/20/2024, IT WAS REPORTED BY AN ARTHREX EMPLOYEE VIA (B)(4) THAT AN AR-18700-09 DRIVER SHAFT WAS TWISTED. THIS OCCURRED DURING A CASE THAT CARRIED ON AND WAS COMPLETED SUCCESSFULLY WITH BACKUP PARTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 326146 | DRIVER SHAFT, T4, SELF RETAINING,MINI AO | ORTHOPEDIC MANUAL SURG INSTR | LXH | ARTHREX, INC. | DRIVER SHAFT, T4, SELF RETAINING,MINI AO | 1392025 | 00888867313781 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |