FDA Adverse Event Malfunction Summary report: N

ANGLED REAMER, DRIVE SHAFT

MDR report key: 21775824 · Received April 4, 2025

Report

Report Number
1220246-2025-01245
Event Type
Malfunction
Date Received
April 4, 2025
Date of Event
March 17, 2025
Report Date
May 22, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DE, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, G3, H3, H6. THE COMPLAINT ALLEGATION WAS CONFIRMED. ONE UNPACKAGED AR-9676, SERIAL/BATCH NUMBER (B)(6), WAS RECEIVED FOR INVESTIGATION. THE VISUAL EVALUATION REVEALED HEAVY SCRATCHES AND LINES IN THE COLLAR AND SCRATCHES ALONG THE SHAFT AND CONNECTOR. BOTH DEVICES ARRIVED SEPARATELY FOR INVESTIGATION. THE OBSERVED CONDITION IS MOST LIKELY THE RESULT OF HEAVY USE. VISUAL EVALUATION REVEALED HEAVY SCRATCHES AND LINES IN THE COLLAR AS WELL IN THE CONNECTOR. BECAUSE THE MATTING HAD HEAVY SCRATCHES ALONG THE DEVICE'S OD, IT IS POSSIBLE THAT THE INSTRUMENT WILL BIND TOGETHER WHEN THE METAL IS TOO HOT TO RUN FOR A LONG TIME. FUNCTIONAL TESTING WAS PERFORMED BY INSERTING THE AR-9676 BATCH 022338 INSIDE THE AR-9597-20 BATCH 37622051, RESISTANCE WAS FELT WHEN TRYING TO ROTATE. THE OBSERVED CONDITION IS MOST LIKELY CAUSED BY OVERHEATING DURING USE, WHICH CAN BE ATTRIBUTED TO THE AGE OR EXTENSIVE USE OF THE DEVICE. ECO-41381 WAS IMPLEMENTED. THE CHANGES BEING IMPLEMENTED ARE DUE TO A PRODUCT IMPROVEMENT INITIATIVE TO ADDRESS COMPLAINTS RELATED TO THE AR-9676 DRIVE SHAFT SEIZING/BINDING DURING USE TOGETHER.

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 03/17/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN AR-9597-20 REAMER SLEEVE AND AN AR-9676 DRIVER SHAFT ARE BROKEN. THIS OCCURRED DURING USE IN A CASE WITH NO PATIENT EFFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
744417 ANGLED REAMER, DRIVE SHAFT MANUAL INSTR, GENERAL SURGICAL LXH ARTHREX, INC. ANGLED REAMER, DRIVE SHAFT UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown