FDA Adverse Event Malfunction Summary report: N

GALILEO® LOCKING TOOL

MDR report key: 20461895 · Received October 16, 2024

Report

Report Number
1220246-2024-08158
Event Type
Malfunction
Date Received
October 16, 2024
Date of Event
October 7, 2024
Report Date
February 4, 2025
Manufacturer
ARTHREX, INC.
Product Code
HSB
UDI-DI
00848665031522
PMA / PMN Number
K202099
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, 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

COMPLAINT ALLEGATION IS NOT CONFIRMED. ONE UNPACKAGED 5031-000 GALILEO LAG SCREW LOCKING TOOL BATCH NUMBER: 220671-015 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION OF THE RETURNED DEVICE NOTED NORMAL WEAR AND TEAR TO THE DEVICE. FUNCTIONAL TESTING WAS PERFORMED WITH A KNOWN GOOD 5030-000 GALILEO LAG SCREW INSERTER BATCH NUMBER: 212668 AND IT WAS NOTED THAT THE RETURNED 5031-000 GALILEO LAG SCREW LOCKING TOOL WAS ABLE TO MATE AND LOCK AS INTENDED. NO PROBLEM FOUND.

Description of Event or Problem · 0

ON 10/07/2024 IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT A 5030-000 GALILEO LAG SCREW AND A 5031-000 GALILEO LOCKING TOOL DISENGAGED WHEN COMPRESSION WAS APPLIED RESULTING IN THE INSTRUMENTS NOT LOCKING. THIS WAS DISCOVERED DURING THE CASE WITH NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1425265 GALILEO® LOCKING TOOL INTRAMED FIXATN ROD AND ACCESS HSB ARTHREX, INC. GALILEO® LOCKING TOOL 220671 00848665031522

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown