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