FDA Adverse Event Malfunction Summary report: N

.062 WIRE CUTTER W/ SAFTY INSRT, ANGLED

MDR report key: 21481422 · Received February 27, 2025

Report

Report Number
1220246-2025-00733
Event Type
Malfunction
Date Received
February 27, 2025
Date of Event
February 19, 2025
Report Date
May 30, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, 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 CONFIRMED. UPON VISUAL INSPECTION, IT WAS NOTED THAT THE SILICONE INSERTERS WERE REMOVED AND ONE OF THE JAWS WAS BROKEN OFF. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE CAN BE ATTRIBUTED TO USER ERROR DUE TO EXCESSIVE PRESSURE USED TO CUT THE WIRE.

Description of Event or Problem · 0

ON 02/19/2025, A SALES REPRESENTATIVE REPORTED VIA (B)(4) THAT AN AR-9938-11 WIRE CUTTER WAS BROKEN. THIS OCCURRED DURING A CASE THERE WERE NO ADVERSE AFFECTS ON THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1286189 .062 WIRE CUTTER W/ SAFTY INSRT, ANGLED ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. .062 WIRE CUTTER W/ SAFTY INSRT, ANGLED 672331

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown