FDA Adverse Event Malfunction Summary report: N

FLEXIBLE SHAFT

MDR report key: 21537400 · Received March 6, 2025

Report

Report Number
1220246-2025-00832
Event Type
Malfunction
Date Received
March 6, 2025
Date of Event
February 19, 2025
Report Date
April 15, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00848665023688
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, G3, H3, H6. THE COMPLAINT ALLEGATION IS CONFIRMED. ONE UNPACKAGED 0222-200 SERIAL/BATCH NUMBER (B)(6) WAS RECEIVED FOR EVALUATION. A VISUAL EVALUATION REVEALED THAT THE DEVICE TIP WAS BROKEN OFF. CORROSION WAS OBSERVED ON THE LASER MARKS. THE THREADS AT THE PROXIMAL END WERE BENT. SCRATCHES AND MARKS WERE ALSO NOTED ON THE SHAFT, AND THE SHAFT LENGTH WAS BENT. FUNCTIONAL TESTING CANNOT BE PERFORMED AS THE DEVICE WAS BROKEN WHEN RECEIVED. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS THE DEVICE'S WEAR AND TEAR AFTER MANY RE-PROCESSINGS AND USES.

Additional Manufacturer Narrative · 0

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Description of Event or Problem · 0

ON 02/21/2025, A SALES REPRESENTATIVE REPORTED VIA (B)(4) THAT AN 0222-200 FLEXIBLE REAMER SHAFT BROKE. THIS OCCURRED DURING A CASE WHERE THE PIECE WAS RECOVERED AND THE CASE WAS COMPLETED WITH NO ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
828941 FLEXIBLE SHAFT PNEUMATIC PWR SURG INSTR MOTOR LXH ARTHREX, INC. FLEXIBLE SHAFT 00848665023688

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown