FDA Adverse Event Malfunction Summary report: N

SAW ATTACHMENT-SAGITTAL

MDR report key: 20842621 · Received December 4, 2024

Report

Report Number
1220246-2024-08688
Event Type
Malfunction
Date Received
December 4, 2024
Date of Event
November 6, 2024
Report Date
August 22, 2025
Manufacturer
ARTHREX, INC.
Product Code
HWE
UDI-DI
00888867111073
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
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: D9, G3, H3, H6. THE MANUFACTURER EVALUATION REVEALED A LOOSE SCREW 483850 WHICH RESULTED IN THE REPORTED EVENT. FURTHER EVALUATION DID NOT REVEAL ANY DAMAGES AT THE THREAD OF THE SCREW AND LOCTITE IS ALSO VISIBLE. THE REPORTED EVENT THEREFORE IS CONFIRMED. IF THE SCREW IS EXPOSED TO STRONG VIBRATION, IT CAN LEAD TO LOOSENING OF THE SCREW.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE SAW ATTACHMENT IS DEFECTIVE, THE SAW BLADE DOES NOT HOLD IN THE ANCHORAGE. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. THERE WAS NO CASE INVOLVEMENT REPORTED. NO FURTHER INFORMATION RECEIVED. UPDATE, KHE, 26-NOV-2026 FURTHER INFORMATION RECEIVED WITH A COMPLAINT FORM. THE EVENT OCCURRED DURING A SHOULDER PROSTHESIS. THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY REPORTED. NO PIECE BROKE OFF INSIDE THE PATIENT. THE SURGERY WAS FINISHED SUCCESSFULLY WITH A NEW DEVICE WITH THE SAME PART NO. IT WAS NOT NECESSARY TO SWITCH THE SURGICAL TECHNIQUE OR DO A SECOND SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1681444 SAW ATTACHMENT-SAGITTAL POWERED SURG ORTHOPEDIC INSTR HWE ARTHREX, INC. SAW ATTACHMENT-SAGITTAL 15088994 00888867111073

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown