FDA Adverse Event Malfunction Summary report: N

DRIVER SHAFT, T6, SELF RETAINING, AO

MDR report key: 23132474 · Received September 24, 2025

Report

Report Number
1220246-2025-04099
Event Type
Malfunction
Date Received
September 24, 2025
Date of Event
September 8, 2025
Report Date
December 16, 2025
Manufacturer
ARTHREX, INC.
Product Code
LXH
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, 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-18800-03, DRIVER SHAFT BATCH NUMBER: 1392347 WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION OF THE RETURNED DEVICE NOTED THAT THE DRIVER TIP WAS TWISTED/BENT. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE TO THE DEVICE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO USER ERROR OF THE DEVICE DUE TO OVER-TORQUING/OVER-ENGAGING THE DRIVER WITH THE SCREW HEAD. REFER TO INVESTIGATION PHOTOS. COMPLAINT ALLEGATION IS CONFIRMED.

Description of Event or Problem · 0

ON 09/08/2025, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS-07057750 THAT AN AR-18800-03 DRIVER TORQUED DURING USE. NOTICED DURING A CASE WITH NO PATIENT EFFECT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1613991 DRIVER SHAFT, T6, SELF RETAINING, AO ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. DRIVER SHAFT, T6, SELF RETAINING, AO 1392347

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown