FDA Adverse Event Malfunction Summary report: N

FASTPASS SCORPION SL-MF WITH FLUSHPORT

MDR report key: 23806100 · Received December 15, 2025

Report

Report Number
1220246-2025-05613
Event Type
Malfunction
Date Received
December 15, 2025
Date of Event
November 20, 2025
Report Date
February 11, 2026
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867293410
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, G3, H3, H6. THE REPORTED EVENT WAS CONFIRMED AS ONE UNPACKAGED AR-13999MFF, FASTPASS SCORPION SL-MF WITH FLUSHPORT, BATCH NUMBER 15318295, WAS RECEIVED FOR INVESTIGATION AND UPON VISUAL INSPECTION, IT WAS OBSERVED THAT THE JAW DOES NOT CLOSE COMPLETELY (SEE EVALUATION PICTURE 3). FUNCTIONAL TESTING WAS NOT PERFORMED DUE TO THE DAMAGE OF THE DEVICE. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS WEAR AND TEAR OVER REPETITIVE USAGE. FURTHER VISUAL INSPECTION REVEALED THAT THE DEVICE SHOWS SIGNS OF METAL SURFACE OXIDATION (SEE EVALUATION PICTURES 4 - 6).

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

NO COMPLAINT ALLEGATION WAS PROVIDED. ALSO, THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY REPORTED. IT WILL BE PROCESSED AS REPAIR, NOT AS COMPLAINT. *** UPDATE 02-DEZ-2025 VBU: IT WAS REPORTED THAT THE DEVICE DOES NOT CLOSE ANYMORE. *** 12-DEC-2025 MAJUNG: FURTHER INFORMATION WAS RECEIVED: IT WAS REPORTED THAT DURING THE ROTATOR CUFF SURGERY, THE DEVICE DID NOT CLOSE ANYMORE. NO PARTS BROKE OFF THE DEVICE. PER COMPLAINT REPORTER THERE WAS NO HARM FOR PATIENT, OPERATOR OR THIRD PARTY. THE SURGERY WAS FINISHED SUCCESSFULLY WITH USING A DIFFERENT DEVICE. IT WAS NOT NECESSARY TO SWITCH THE SURGICAL TECHNIQUE OR DO A SECOND SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
272149 FASTPASS SCORPION SL-MF WITH FLUSHPORT ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. FASTPASS SCORPION SL-MF WITH FLUSHPORT 15318295 00888867293410

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown