DRIVER SHAFT, T6, SELF RETAINING, AO
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
INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.
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.
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 |