FDA Adverse Event Malfunction Summary report: N

NAUTILUS REAMER/DRILL GLOVE PROTECTOR

MDR report key: 22783245 · Received August 12, 2025

Report

Report Number
1220246-2025-03436
Event Type
Malfunction
Date Received
August 12, 2025
Date of Event
July 22, 2025
Report Date
August 12, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867192638
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED EVENT WAS CONFIRMED AS THE VISUAL EVALUATION OF THE RECEIVED AR-9216-4, LOT: 022412 REVEALED THAT THERE ARE STRIATION MARKS AND NICKS ALONG THE INNER DIAMETER OF THE DEVICE. ALSO, THE SLOT ALONG THE CANNULATION LENGTH IS BENT. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE OF THE DEVICE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO EXCESSIVE USER-APPLIED MECHANICAL FORCES.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A SHOULDER PROSTHESIS SURGERY ABRASION OCCURRED, SOME OF WHICH REMAINED STUCK TO THE PATIENT AND THE INSTRUMENT. NOTHING REMAINED IN THE PATIENT; IT WAS RINSED OUT. PER COMPLAINT REPORTER THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. THE SURGERY WAS FINISHED SUCCESSFULLY WITH THE SAME DEVICE. IT WAS NOT NECESSARY TO SWITCH THE SURGICAL TECHNIQUE OR DO A SECOND SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1889071 NAUTILUS REAMER/DRILL GLOVE PROTECTOR MANUAL INSTR, GENERAL SURGICAL LXH ARTHREX, INC. NAUTILUS REAMER/DRILL GLOVE PROTECTOR 022412 00888867192638

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown