T20 HEXALOBE DRIVER, STRAIGHT (AO)
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
INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.
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.
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 |