FDA Adverse Event Malfunction Summary report: N

.062 WIRE CUTTER W/ SAFTY INSRT, ANGLED

MDR report key: 21867056 · Received April 18, 2025

Report

Report Number
1220246-2025-01585
Event Type
Malfunction
Date Received
April 18, 2025
Date of Event
March 31, 2025
Report Date
September 12, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00841435109582
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

ADDITIONAL INFORMATION: D9, G3, H3, H6. THE COMPLAINT ALLEGATION WAS CONFIRMED. ONE UNPACKAGED AR-9938-11 BATCH 672331 WAS RECEIVED FOR INVESTIGATION. VISUAL INSPECTION FOUND THAT A PIECE OF THE DEVICE'S JAWS WAS BROKEN OFF, AND THE SILICON INSERTER WAS NOT RETURNED FOR EVALUATION. THE DEVICE SHOWS DISCOLORATION SPOTS. FUNCTIONAL TESTING WAS PERFORMED BY PRESSING THE HANDLE TO CHECK FOR RESISTANCE OR ANY ISSUES. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS USER ERROR, APPLYING EXCESSIVE FORCE DURING USE.

Description of Event or Problem · 0

ON (B)(6) 2025 , IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN AR-9938-11 WIRE CUTTER BROKE WHILE TRYING TO CUT THE SNAP OFF PINS. THIS WAS DISCOVERED DURING THE CASE WITH NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1763762 .062 WIRE CUTTER W/ SAFTY INSRT, ANGLED ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. .062 WIRE CUTTER W/ SAFTY INSRT, ANGLED 672331 00841435109582

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown