FDA Adverse Event Malfunction Summary report: N

LO-PRO SCRW,TI,3.5MMX 16MM

MDR report key: 23192359 · Received October 1, 2025

Report

Report Number
1220246-2025-04329
Event Type
Malfunction
Date Received
October 1, 2025
Date of Event
September 12, 2025
Report Date
November 10, 2025
Manufacturer
ARTHREX, INC.
Product Code
HWC
PMA / PMN Number
K203294
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: G3, H3, H6. THE COMPLAINT ALLEGATION IS CONFIRMED. PHOTOGRAPHIC EVIDENCE PROVIDED FROM THE FIELD OF AN AR-8935-16, WITH BATCH NUMBER 15452495, REVEALED THAT THE SCREW WAS DAMAGED. THEREFORE, ARTHREX WAS ABLE TO CONCLUDE A MOST LIKELY CAUSE. THE MOST LIKELY CAUSE FOR THE REPORTED FAILURE CAN BE ATTRIBUTED TO PRYING/LEVERAGING THE SCREW DURING INSERTION. DFU-0125-EO REVISION 7: 4. DAMAGE TO THE DRIVER OR SCREW MAY RESULT FROM FAILURE TO SEAT THE DRIVER FULLY INTO THE SCREW OR TO ALIGN THE DRIVER PROPERLY WITH THE SCREW. USE SOLID DRIVER AS OPPOSED TO A CANNULATED DRIVER FOR SCREW REMOVAL.

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 09/15/2025, A SALES REPRESENTATIVE REPORTED VIA EMAIL THAT DURING AN ANKLE FRACTURE PROCEDURE PERFORMED ON (B)(6) 2025, THE HEAD OF AN AR-8935-16 NON-LOCKING LOW PROFILE SCREW BROKE OFF WHILE BEING INSERTED INTO A PLATE. THE SURGEON ELECTED TO LEAVE THE HEADLESS SCREW IN PLACE AND PROCEEDED WITH THE PROCEDURE. THE DETACHED PORTION OF THE SCREW WAS NOT LOCATED OR REMOVED. ADDITIONAL INFORMATION WAS RECEIVED ON 09/19/2025: THE HEAD OF THE SCREW BROKE OFF WHILE BEING INSERTED INTO AN AR-9943T-10 LOCKING THIRD TUBULAR PLATE, 10 HOLE. THE NURSE SET ASIDE THE BROKEN SCREW HEAD, AND THE SURGEON PROCEEDED WITH THE PROCEDURE BY USING THE NEXT HOLE IN THE PLATE, LEAVING THE BROKEN HEADLESS SCREW IN PLACE. THE CASE WAS NOT DELAYED, AND NO ADDITIONAL ANESTHESIA WAS ADMINISTERED. AN AR-8943-30 DRILL BIT, 2.5 MM, WAS USED TO PREPARE THE BONE SOCKET FOR IMPLANT INSERTION. THE PATIENT'S BONE QUALITY WAS REPORTED AS GOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2105828 LO-PRO SCRW,TI,3.5MMX 16MM BONE FIXATION SCREW/PLATE HWC ARTHREX, INC. LO-PRO SCRW,TI,3.5MMX 16MM 15452495

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown