FDA Adverse Event Malfunction Summary report: N

LOW PROFILE SCREW, 1.6 X 11MM, CORTICAL

MDR report key: 22719822 · Received August 5, 2025

Report

Report Number
1220246-2025-03256
Event Type
Malfunction
Date Received
August 5, 2025
Date of Event
July 11, 2025
Report Date
November 14, 2025
Manufacturer
ARTHREX, INC.
Product Code
HRS
UDI-DI
00888867313231
PMA / PMN Number
K191326
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MT, 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: G3, H3, H6. THE FAILED DEVICE WAS NOT RECEIVED FOR EVALUATION. BASED ON THE INFORMATION PROVIDED, WHICH MAY INCLUDE THE DEVICE (IF AVAILABLE AND RETURNED), PICTURES, VIDEOS, EVENT DESCRIPTION, AND ANY ADDITIONAL INFORMATION FROM THE FIELD, ARTHREX WAS ABLE TO CONCLUDE THE MOST LIKELY CAUSE. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS USER ERROR, INCLUDING EXCESSIVE TORQUE APPLIED DURING EXTRACTION AND/OR IMPROPER REMOVAL TECHNIQUE, OR INCORRECT TOOLS. THE COMPLAINT ALLEGATION IS CONFIRMED BASED ON THE CUSTOMER'S ATTACHED PICTURE, WHERE THE HEAD OF THE SCREW WAS OBSERVED.

Description of Event or Problem · 0

ON 07/16/2025, A SALES REPRESENTATIVE REPORTED VIA EMAIL THAT AN AR-18716-11 CORTICAL SCREW BROKE DURING REMOVAL. AFTER PLACING ALL SCREWS AND A PLATE, THE CONSTRUCT WAS EVALUATED VIA X-RAY, AND IT WAS DETERMINED THAT THE 11 MM SCREW WAS TOO LONG. THE SURGEON ATTEMPTED TO BACK OUT THE SCREW TO REPLACE IT WITH A SHORTER ONE, BUT THE SCREW FRACTURED DURING REMOVAL. THE BREAK OCCURRED BELOW THE PLATE, MAKING REMOVAL NOT FEASIBLE. THIS WAS DISCOVERED DURING A PROCEDURE. ADDITIONAL INFORMATION WAS RECEIVED ON 07/23/2025: THIS OCCURRED DURING A METACARPAL ORIF PROCEDURE. AN AR-18716P-18 T-PLATE (LOT 105642321) WAS SUCCESSFULLY IMPLANTED. NO DAMAGE HAPPENED TO THE PLATE, AND NO SURGICAL INSTRUMENTS BROKE DURING REMOVAL. HOWEVER, ONE AR-18716-11 CORTICAL SCREW FRACTURED AND REMAINED IN THE BONE. THE CORRECT DRIVER WAS USED CONSISTENTLY THROUGHOUT THE PROCEDURE AND FUNCTIONED PROPERLY ON THE REMAINING SIX SCREWS. THE LOT NUMBER FOR THE BROKEN SCREW IS UNKNOWN. THERE WAS NO CHANGE IN SURGICAL TECHNIQUE, AND NO ADDITIONAL PRODUCTS WERE USED TO COMPLETE THE CASE. A DELAY OF APPROXIMATELY FIVE MINUTES OCCURRED, BUT NO EXTRA ANESTHESIA WAS ADMINISTERED. THE AR-18700-12 DRILL BIT WAS USED TO PREPARE THE BONE SOCKET FOR IMPLANT PLACEMENT, WITH THE BONE QUALITY ASSESSED AS AVERAGE. NO MEDICAL INTERVENTION HAS BEEN REQUIRED POSTOPERATIVELY. IT REMAINS UNDETERMINED WHETHER THE RETAINED SCREW WILL CAUSE ANY ADVERSE OUTCOMES OR REQUIRE FUTURE SURGICAL INTERVENTION. THE PATIENT WAS DISCHARGED TO POSTOPERATIVE CARE. ADDITIONAL INFORMATION WAS RECEIVED ON 08/01/2025: THIS OCCURRED ON (B)(6) 2025 FOR A METACARPAL ORIF PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2497811 LOW PROFILE SCREW, 1.6 X 11MM, CORTICAL BONE FIXATION SCREW/PLATE HRS ARTHREX, INC. LOW PROFILE SCREW, 1.6 X 11MM, CORTICAL UNK 00888867313231

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown