FDA Adverse Event Malfunction Summary report: N

DIST HUM FRAC PLT,EA,TI,LFT,11H,STRL

MDR report key: 22795132 · Received August 13, 2025

Report

Report Number
1220246-2025-03479
Event Type
Malfunction
Date Received
August 13, 2025
Date of Event
July 29, 2025
Report Date
December 12, 2025
Manufacturer
ARTHREX, INC.
Product Code
HRS
UDI-DI
00888867435483
PMA / PMN Number
K242079
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: G3, H3, H6 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 A MOST LIKELY CAUSE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO USER ERROR OF THE DEVICE DUE TO OVER-TORQUING THE SCREW WHEN INSERTING INTO THE PLATE AND/OR HARD BONE.

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 07/29/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA PHONE THAT AN AR-8935-24 SCREW BROKE WHILE GOING INTO A AR-7654EL-11S. THIS OCCURRED DURING USE IN A CASE WITH NO PATIENT EFFECT. THE CASE WAS COMPLETED BY LEAVING THE BROKEN HARDWARE IN AND USING OTHER SCREW HOLES. NO DELAY TO THE CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
66248 DIST HUM FRAC PLT,EA,TI,LFT,11H,STRL BONE FIXATION PLATE HRS ARTHREX, INC. DIST HUM FRAC PLT,EA,TI,LFT,11H,STRL 15429334 00888867435483

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown