FDA Adverse Event Malfunction Summary report: N

T20 HEXALOBE DRIVER, STRAIGHT (AO)

MDR report key: 20460943 · Received October 16, 2024

Report

Report Number
1220246-2024-08143
Event Type
Malfunction
Date Received
October 16, 2024
Date of Event
September 24, 2024
Report Date
August 15, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867309814
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, 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

VISUAL EVALUATION OF THE CUSTOMER-PROVIDED PICTURES NOTED AN AR-8970-08 T20 HEXALOBE DRIVESHAFTS WERE WARPED. REFER TO ATTACHMENTS. THE COMPLAINT ALLEGATION IS CONFIRMED BASED ON THE CUSTOMER-PROVIDED PICTURES. BASED ON THE INFORMATION PROVIDED, 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 THE SCREW WHEN INSERTING INTO THE PLATE AND/OR HARD BONE.

Description of Event or Problem · 0

ON 09/24/2024, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT (2) AR-8970-08 T20 HEXALOBE DRIVESHAFTS WERE WARPED. THIS OCCURRED DURING A FOOT & ANKLE FUSION ON (B)(6) 2024 WHERE THE CASE WAS COMPLETED USING A BACKUP DRIVER IN THE TRAY. THERE WAS NO DELAY IN THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1375594 T20 HEXALOBE DRIVER, STRAIGHT (AO) ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. T20 HEXALOBE DRIVER, STRAIGHT (AO) 1392144 00888867309814

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown