FDA Adverse Event Malfunction Summary report: N

UNK

MDR report key: 23042223 · Received September 12, 2025

Report

Report Number
1220246-2025-03838
Event Type
Malfunction
Date Received
September 12, 2025
Date of Event
August 20, 2025
Report Date
October 29, 2025
Manufacturer
ARTHREX, INC.
Product Code
KTW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D4, 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 DUE TO MISALIGNED INSERTION AND/OR PRYING/LEVERAGING DURING USE.

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 08/20/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA (B)(4) THAT AN 8124-026 CN LOCK SCREW WOULD NOT LOCK ONTO THE PLATE. THIS WAS DISCOVERED A PROXIMAL HUMERUS FRACTURE PROCEDURE. THE CASE WAS COMPLETED WITH NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2027190 UNK FIXATN NAIL/BLADE/PLATE COMBO KTW ARTHREX, INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown