FDA Adverse Event Malfunction Summary report: N

GALILEO® CAPTURING ROD NUT

MDR report key: 21585854 · Received March 12, 2025

Report

Report Number
1220246-2025-00901
Event Type
Malfunction
Date Received
March 12, 2025
Date of Event
February 25, 2025
Report Date
June 27, 2025
Manufacturer
ARTHREX, INC.
Product Code
HSB
UDI-DI
00848665039160
PMA / PMN Number
K202099
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

ADDITIONAL INFORMATION: D9, G3, H3, H6. COMPLAINT ALLEGATION IS CONFIRMED. ONE UNPACKAGED 5046-100 LAG SCREW CAPTURING ROD NUT BATCH NUMBER: 220989 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION OF THE RETURNED DEVICE NOTED SUPERFICIAL WEAR AND TEAR TO THE DEVICE WITH SCRATCHES AND FADED LASER MARKINGS OBSERVED. THE MOST LIKELY CAUSE FOR THIS CAN BE ATTRIBUTED TO WEAR AND TEAR INCURRED THROUGH EXTENDED USE IN THE FIELD/REPEATED REPROCESSING. MANUFACTURED DATE: 12-OCT-2022. IT WAS FURTHER NOTED THAT THE 5046-100 LAG SCREW CAPTURING ROD NUT HAD BEEN IMPROPERLY THREADED ONTO THE 5033-100 CAPTURING ROD AND THE DEVICES COULD NOT BE SEPARATED. FUNCTIONAL TESTING WAS NOT ABLE TO BE PERFORMED DUE TO THE DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO MISUSE DUE TO USE ERROR WHEN THREADING THE MATING DEVICES.

Description of Event or Problem · 0

ON 02/25/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT A 5046-100 LAG SCREW CAPTURING ROD NUT AND A 5033-100 CAPTURING ROD ASSEMBLY HAD AN ISSUE WITH NOT LOCKING THE LAG SCREW INTO THE NAIL AS DESIGNED AND HAD TO USE THE LOCKING END CAP INSTEAD. THIS WAS DISCOVERED DURING A PROCEDURE, WITH NO REPORTED PATIENT HARM. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1112801 GALILEO® CAPTURING ROD NUT INTRAMED FIXATN ROD AND ACCESS HSB ARTHREX, INC. GALILEO® CAPTURING ROD NUT 220989 00848665039160

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown