FDA Adverse Event Malfunction Summary report: N

.062 WIRE CUTTER W/ SAFTY INSRT, ANGLED

MDR report key: 22062853 · Received May 21, 2025

Report

Report Number
1220246-2025-02154
Event Type
Malfunction
Date Received
May 21, 2025
Date of Event
May 1, 2025
Report Date
August 25, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00841435109582
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, 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. ONE UNPACKAGED AR-9938-11 BATCH 672321 WAS RECEIVED FOR INVESTIGATION. FUNCTIONAL TESTING WAS NOT PERFORMED BECAUSE THE DEVICE WAS RECEIVED DAMAGED. VISUAL INSPECTION FOUND THAT ONE OF THE SILICONE INSERTS WAS MISSING. HEAVY SIGNS OF WEAR APPEAR AS THE LASER MARKS FADE, AND MANY DISCOLORATION SPOTS SURROUND THE INSTRUMENT. THE MOST LIKELY REASON FOR THE REPORTED FAILURE IS THE WEAR AND TEAR DAMAGE INCURRED OVER REPEATED USAGE. THE INSTRUMENT WAS MANUFACTURED IN 2023. THE COMPLAINT ALLEGATION WAS CONFIRMED.

Description of Event or Problem · 0

ON 05/01/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN AR-9938-11 WIRE CUTTER W/ SAFETY INSERT BROKE. THIS WAS DISCOVERED DURING THE CASE WITH NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
886640 .062 WIRE CUTTER W/ SAFTY INSRT, ANGLED ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. .062 WIRE CUTTER W/ SAFTY INSRT, ANGLED 672321 00841435109582

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown