FDA Adverse Event Malfunction Summary report: N

ANTEGRADE TARGETING MODULE

MDR report key: 22029708 · Received May 15, 2025

Report

Report Number
1220246-2025-02063
Event Type
Malfunction
Date Received
May 15, 2025
Date of Event
April 21, 2025
Report Date
August 15, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00848665034073
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: G3, H3, H6. ONE UNPACKAGED 1271-300 ANTEGRADE TARGETING MODULE BATCH NUMBER: 213098, WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION NOTED DAMAGE TO THE THREADS OF THE DEVICE. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO USER ERROR DUE TO USER-APPLIED EXCESSIVE MECHANICAL FORCES. COMPLAINT ALLEGATION IS CONFIRMED. HOWEVER, WHETHER THIS WAS AN OUT-OF-BOX FAILURE CANNOT BE CONFIRMED DUE TO THE DAMAGE TO THE DEVICE.

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 04/21/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN 1271-300 TARGETING MODULE DID NOT LINE UP AND WAS MISSING THE SCREW HOLE IN THE NAIL BY AT LEAST 6MM. WE WERE ABLE TO COMPLETE THE CASE WITH A FREEHAND LOCK. DELAYED US BY ABOUT 10 MINUTES AFTER WHICH THE CASE WAS COMPLETED WITHOUT ISSUE. NO ADVERSE PATIENT ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
67011 ANTEGRADE TARGETING MODULE INTRAMED FIXATN ROD AND ACCESS LXH ARTHREX, INC. ANTEGRADE TARGETING MODULE 213098 00848665034073

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown