FDA Adverse Event Malfunction Summary report: N

CANNULATED COMPRESSION HEADLESS SCREW

MDR report key: 22811861 · Received August 14, 2025

Report

Report Number
3012966183-2025-00019
Event Type
Malfunction
Date Received
August 14, 2025
Date of Event
July 11, 2025
Report Date
August 14, 2025
Manufacturer
TYBER MEDICAL
Product Code
LXH
UDI-DI
00819917026566
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE COMPLAINT WAS EVALUATED AND INVESTIGATED WITH THE PROVIDED INFORMATION. THE DEVICE WAS NOT RETURNED; THEREFORE, A DEVICE EVALUATION WAS UNABLE TO BE PERFORMED. A DEVICE HISTORY RECORD REVIEW WAS UNABLE TO BE PERFORMED AS NO DEVICE LOT INFORMATION WAS RECEIVED. A HISTORICAL DATA ANALYSIS WAS CONDUCTED THAT IDENTIFIED NO TRENDS OR CAPAS RELATED TO THE NATURE OF THIS COMPLAINT. THE ROOT CAUSE CANNOT BE DETERMINED WITH THE INFORMATION PROVIDED. ANNEX G CODE 4756 USED. THE IMPACTED DEVICE TERM SHOULD BE DRILL.

Description of Event or Problem · 0

IT WAS REPORTED THAT ON (B)(6) 2025 WHILE DRILLING THROUGH THE 1ST MET, RESIDENT DOCTOR MENTIONED THAT THERE WASN'T FEELING LIKE THERE WAS MUCH POWER OR ANY ADVANCEMENTS WITH THE DRILL BIT. THE SURGEON ASSUMED IT WAS DUE TO THE NATURE OF THE PATIENT'S HARDER THAN AVERAGE BONE AS THE SURGEON HAD ALREADY GONE THROUGH 3 SAW BLADES PRIOR TO THIS INCIDENT. UPON PULLING THE DRILL BIT OUT OF THE TISSUE SLEEVE, THE RESIDENT NOTICED THE DRILL BIT HAD SNAPPED. UPON FLUORO, IT WAS DISCOVERED THAT THE TIP OF THE DRILL BIT HAD SNAPPED INTO ONE LARGE PIECE, AND 2 SMALLER PIECES WHILE ALSO DAMAGING THE DRILL SLEEVE WHEN PULLING OUT. THE SURGEON WAS ABLE TO REMOVE THE LARGE PIECE OF THE DRILL BIT BUT WAS UNABLE TO RECOVER THE 2 SMALLER FRAGMENTS THAT WERE STUCK WITHIN THE BONE/OSTEOTOMY SITE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2726636 CANNULATED COMPRESSION HEADLESS SCREW 2.0MM CANN DRILL BIT QC/ 145MM LXH TYBER MEDICAL 03.333.301 00819917026566

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other