T10 DRIVER, RETAINING
Report
- Report Number
- 1220246-2025-04700
- Event Type
- Malfunction
- Date Received
- October 20, 2025
- Date of Event
- October 9, 2025
- Report Date
- February 19, 2026
- Manufacturer
- ARTHREX, INC.
- Product Code
- HRS
- UDI-DI
- 00848665039320
- PMA / PMN Number
- K202489
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 501
Narratives
THE COMPLAINT DEVICE WAS NOT RECEIVED FOR EVALUATION. BASED ON THE INFORMATION PROVIDED, WHICH MAY INCLUDE THE RETURNED DEVICE (IF AVAILABLE), PICTURES, VIDEOS, EVENT DESCRIPTIONS, AND ANY ADDITIONAL FIELD DATA, ARTHREX CONCLUDED THE MOST LIKELY CAUSE OF THE REPORTED FAILURE. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS USER ERROR, SPECIFICALLY EXCESSIVE FORCE. THE COMPLAINT ALLEGATION WAS NOT CONFIRMED; THE DEVICE WAS NOT RECEIVED FOR EVALUATION, AND NO EVIDENCE OF THE FAILURE WAS RECEIVED.
INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.
ON 10/09/2025, A SALES REPRESENTATIVE REPORTED VIA (B)(4) THAT A 5042-100 T10 DRIVER TWISTED AT THE END AND STRIPPED. NO ISSUES WERE REPORTED DURING THE PROCEDURE, AND THE PATIENT WAS NOT AFFECTED. THIS WAS IDENTIFIED AFTER THE PROCEDURE, WITH NO REPORTED PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 801159 | T10 DRIVER, RETAINING | BONE FIXATION PLATE | HRS | ARTHREX, INC. | T10 DRIVER, RETAINING | 230141 | 00848665039320 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |