FDA Adverse Event Malfunction Summary report: N

GALILEO® CAPTURING ROD

MDR report key: 21593298 · Received March 13, 2025

Report

Report Number
1220246-2025-00911
Event Type
Malfunction
Date Received
March 13, 2025
Date of Event
February 25, 2025
Report Date
July 8, 2025
Manufacturer
ARTHREX, INC.
Product Code
HSB
UDI-DI
00848665039177
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

COMPLAINT ALLEGATION IS CONFIRMED. ONE UNPACKAGED 5033-100 CAPTURING ROD BATCH NUMBER: 220097 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION OF THE RETURNED DEVICE NOTED THAT A 5046-100 LAG SCREW CAPTURING ROD NUT HAD BEEN IMPROPERLY THREADED ONTO THE RETURNED 5033-100 CAPTURING ROD AND THE DEVICES COULD NOT BE SEPARATED. IT WAS FURTHER NOTED THAT THE THREADS WHERE THE LAG SCREW MATES WERE ALSO DAMAGED. 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. REFER TO INVESTIGATION PHOTOS.

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
1699627 GALILEO® CAPTURING ROD INTRAMED FIXATN ROD AND ACCESS HSB ARTHREX, INC. GALILEO® CAPTURING ROD 220097 00848665039177

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown