FDA Adverse Event Malfunction Summary report: N

SCISSOR, 3.4MM , L CURVED STR W/WB

MDR report key: 22736454 · Received August 7, 2025

Report

Report Number
1220246-2025-03298
Event Type
Malfunction
Date Received
August 7, 2025
Date of Event
July 18, 2025
Report Date
October 13, 2025
Manufacturer
ARTHREX, INC.
Product Code
MDM
UDI-DI
00888867005273
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, 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-12160W, WISHBONE¿ SCISSOR, BATCH 10244516, WAS RECEIVED FOR INVESTIGATION. - VISUAL INSPECTION NOTED THAT THE CUTTING EDGES HAD NICKS/DAMAGE, AND THE LOWER CUTTING BLADE WAS CRACKED. - FUNCTIONAL TESTING NOTED THAT THE DRIVER FUNCTIONS AS INTENDED. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS USER ERROR, WHICH CAN BE ATTRIBUTED TO PRYING/LEVERAGING THE DEVICE WITH EXCESSIVE FORCE DURING USE. - REFER TO THE INVESTIGATION PHOTOS. - COMPLAINT ALLEGATION IS CONFIRMED.

Description of Event or Problem · 0

ON 07/18/2025, A SALES REPRESENTATIVE REPORTED VIA (B)(4) THAT AN AR-12160W WISHBONE¿ SCISSOR SERRATED JAW SNAPPED OFF. THE ISSUE WAS DISCOVERED DURING THE SURGERY. ANOTHER DEVICE WAS SWAPPED, AND THE CASE WAS COMPLETED WITH NO ADVERSE EFFECTS TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
505212 SCISSOR, 3.4MM , L CURVED STR W/WB MANUAL INSTR, GENERAL SURGICAL MDM ARTHREX, INC. SCISSOR, 3.4MM , L CURVED STR W/WB 10244516 00888867005273

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown