FDA Adverse Event Malfunction Summary report: N

EASY-OUT, MICRO COMPRESSION FT

MDR report key: 21084157 · Received January 6, 2025

Report

Report Number
1220246-2025-09227
Event Type
Malfunction
Date Received
January 6, 2025
Date of Event
December 10, 2024
Report Date
February 12, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867263802
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, 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

CORRECTION: H1 TO N/A. ARTHREX PREVIOUSLY SUBMITTED THIS EVENT AS A REPORTABLE MALFUNCTION OUT OF AN ABUNDANCE OF CAUTION. UPON RECEIVING ADDITIONAL INFORMATION FROM THE FIELD THAT CLARIFIED THE EVENT, IT HAS BEEN DETERMINED THAT THIS EVENT DOES NOT MEET THE CRITERIA OF A REPORTABLE EVENT UNDER 21 CFR 803. ADDITIONAL INFORMATION: B5, H3, H6.

Description of Event or Problem · 0

ON 12/10/2024, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN AR-8737-61 SCREW REMOVER, EASY-OUT, 2.5 MICRO COMPRESSION FT HAD THE TIP BREAK (FROM THEIR HEADLESS COMPRESSION SCREW SET #3). THIS WAS DISCOVERED DURING A PROCEDURE, WITH NO REPORT OF PATIENT HARM. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Description of Event or Problem · 0

ADDITIONAL INFORMATION WAS RECEIVED ON 01/21/2025: THE DEVICE DID NOT BREAK IN THE PATIENT. THE PIECE BROKE ON THE BACK TABLE AFTER USE. ALL FRAGMENTS WERE OBTAINED. THE CASE WAS COMPLETED BY REMOVING THE SCREW WITH THE SCREW REMOVER. THE SCREW REMOVER THEN BROKE OFF AFTER THE SCREW WAS REMOVED. THERE WAS NO CASE DELAY. THIS WAS DISCOVERED DURING HARDWARE REMOVAL ON (B)(6) 2025, WITH NO PATIENT INVOLVEMENT. ADDITIONAL INFORMATION WAS REQUESTED

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
382624 EASY-OUT, MICRO COMPRESSION FT ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. EASY-OUT, MICRO COMPRESSION FT 1391932 00888867263802

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown