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