FDA Adverse Event
Malfunction
Summary report: N
DRIVER SHAFT, T6, NON-RETAINING, AO
MDR report key: 20863666
·
Received December 6, 2024
Report
- Report Number
- 1220246-2024-08732
- Event Type
- Malfunction
- Date Received
- December 6, 2024
- Date of Event
- November 8, 2024
- Report Date
- August 19, 2025
- Manufacturer
- ARTHREX, INC.
- Product Code
- LXH
- UDI-DI
- 00888867385573
- PMA / PMN Number
- EXEMPT
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, 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: G3, H3, H6 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-TORQUEING/OVER-ENGAGING THE DRIVER WITH THE SCREW HEAD.
Description of Event or Problem · 0
ON 11/08/2024, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN AR-18800-03 DRIVER SHAFT AND AR-18800-04 DRIVER SHAFT ENDS ARE TWISTED. THIS OCCURRED DURING USE IN A CASE WITH NO PATIENT EFFECT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2490431 | DRIVER SHAFT, T6, NON-RETAINING, AO | ORTHOPEDIC MANUAL SURG INSTR | LXH | ARTHREX, INC. | DRIVER SHAFT, T6, NON-RETAINING, AO | 1392420 | 00888867385573 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |