130° RADIOLUCENT TARGETING ARM
Report
- Report Number
- 1220246-2025-04674
- Event Type
- Malfunction
- Date Received
- October 17, 2025
- Date of Event
- October 9, 2025
- Report Date
- February 2, 2026
- Manufacturer
- ARTHREX, INC.
- Product Code
- HSB
- UDI-DI
- 00848665028645
- PMA / PMN Number
- K021008
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- 501
Narratives
ADDITIONAL INFORMATION: D4, G3.
INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.
ADDITIONAL INFORMATION: B5, H3, H6.
ONE UNPACKAGED 1268-100 130° RADIOLUCENT TARGETING ARM, BATCH NUMBER 210928, WAS RECEIVED FOR INVESTIGATION. VISUAL EVALUATION NOTED: DAMAGE TO THE THREADS OF THE DEVICE SURFACE DAMAGE AND FADING ALONG THE BODY. FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE TO THE DEVICE. MOST LIKELY REASON FOR THE REPORTED FAILURE: MISALIGNMENT OF THE TARGETING ARM DURING SCREW INSERTION RESULTS IN AN INACCURATE TRAJECTORY. ADDITIONAL CONTRIBUTING FACTORS: MANIPULATION AND WIGGLING OF THE JIG DURING THE PROCEDURE MAY HAVE INCREASED MISALIGNMENT. POTENTIAL USER-RELATED FACTORS, SUCH AS THE TECHNIQUE DURING ASSEMBLY AND INSERTION. REFER TO THE INVESTIGATION PHOTOS. THE COMPLAINT ALLEGATION IS CONFIRMED.
ON 10/10/2025, A SALES REPRESENTATIVE REPORTED VIA (B)(4) THAT A 1268-100 RADIOLUCENT TARGETING ARM, 130 DEGREE TROCH NAIL, EXPERIENCED AN ISSUE. THE ES SCREW TRAJECTORY WAS INACCURATE, CAUSING THE SCREW TO BIND WITHIN THE NAIL. THE SCREW CROSS-THREADED, AND THE SURGEON WAS UNABLE TO FULLY ADVANCE IT THROUGH THE NAIL. AS A RESULT, THE ES SCREW REMAINED PROMINENT ON THE LATERAL CORTEX OF THE FEMUR. THE CASE WAS COMPLETED SUCCESSFULLY AND NO PIECE BROKE OFF IN THE PATIENT. THIS WAS IDENTIFIED DURING A TROCHANTERIC NAIL PROCEDURE ON (B)(6) 2025, WITH NO REPORTED PATIENT HARM.
ADDITIONAL INFORMATION WAS PROVIDED ON 10/17/2025: THE PRODUCT USED WITH THE NAIL WAS AR-9094ES-11-3930L ES TROCHANTERIC NAIL, LEFT. THE ISSUE OCCURRED DURING INSERTION OF THE ES SCREW. THE SURGICAL TEAM HAD TO MANIPULATE AND WIGGLE THE JIG IN ORDER TO INSERT THE SCREW. THE SAME ORIGINAL PART NUMBERS WERE USED TO COMPLETE THE CASE. THIS RESULTED IN A FIVE-MINUTE DELAY AND AN ADDITIONAL FIVE MINUTES OF ANESTHESIA ADMINISTRATION. NO PHOTOS WERE TAKEN FOR DOCUMENTATION, AND NO ADVERSE EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2864177 | 130° RADIOLUCENT TARGETING ARM | ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES | HSB | ARTHREX, INC. | 130° RADIOLUCENT TARGETING ARM | 210928 | 00848665028645 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |