FDA Adverse Event Malfunction Summary report: N

ANGLED REAMER, ORIENTATION HANDLE

MDR report key: 21890355 · Received April 23, 2025

Report

Report Number
1220246-2025-01661
Event Type
Malfunction
Date Received
April 23, 2025
Date of Event
March 28, 2025
Report Date
August 18, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867324947
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, 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 NOT CONFIRMED. ONE UNPACKAGED AR-9678 ANGLED REAMER ORIENTATION HANDLE BATCH NUMBER: 052317 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION OF THE RETURNED DEVICE NOTED NO APPARENT ISSUES WITH THE EXTERIOR OF THE DEVICE. FUNCTIONAL TESTING WAS PERFORMED BY ASSEMBLING THE RETURNED DEVICE WITH THE RETURNED AR-9597-20 ANGLED REAMER SLEEVE AND IT WAS FOUND THAT THE AR-9678 SECURELY LOCKED AND UNLOCKED AS INTENDED WITH THE AR-9597-20. NO PROBLEM FOUND.

Description of Event or Problem · 0

ON 03/28/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(6) THAT AN AR-9597-20 REAMER SLEEVE FUSED INTO THE AR-9678 ORIENTATION HANDLE AND WOULD NOT SPIN. THIS OCCURRED DURING USE IN A CASE WITH NO PATIENT EFFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
674370 ANGLED REAMER, ORIENTATION HANDLE MANUAL INSTR, GENERAL SURGICAL LXH ARTHREX, INC. ANGLED REAMER, ORIENTATION HANDLE 00888867324947

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown