FDA Adverse Event Malfunction Summary report: N

125° RADIOLUCENT TARGETING ARM

MDR report key: 23943544 · Received January 2, 2026

Report

Report Number
1220246-2026-00011
Event Type
Malfunction
Date Received
January 2, 2026
Date of Event
December 11, 2025
Report Date
February 12, 2026
Manufacturer
ARTHREX, INC.
Product Code
HSB
UDI-DI
00848665028652
PMA / PMN Number
K021008
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS IN PROCESS. A FOLLOW-UP REPORT WILL BE PROVIDED UPON AVAILABILITY OF ADDITIONAL INFORMATION.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, G3, H3, H6. ONE UNPACKAGED 1267-100 RADIOLUCENT TARGETING ARM (BATCH 212569) WAS RECEIVED FOR INVESTIGATION. THE DEVICE ARRIVED WITH AN 0826-000 IMPACTOR PAD ATTACHED. VISUAL INSPECTION NOTED THAT THE 0826-000 IMPACTOR PAD WAS STUCK TO THE GROMMET OF THE 1267-100 RADIOLUCENT TARGETING ARM AND COULD NOT BE DETACHED. FUNCTIONAL TESTING COULD NOT BE PERFORMED BECAUSE THE DEVICES WERE INSEPARABLE. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS ATTRIBUTED TO USE-RELATED FACTORS, INCLUDING WEAR-AND-TEAR DAMAGE AND EXCESSIVE MECHANICAL FORCES APPLIED TO THE IMPACTOR PAD IN THE FIELD OVER TIME. THE MANUFACTURING DATE FOR THE TARGETING ARM IS NOVEMBER 2021. REFER TO THE INVESTIGATION PHOTOS. THE COMPLAINT ALLEGATION IS CONFIRMED.

Description of Event or Problem · 0

ON 11-DEC-2025, A FACILITY REPRESENTATIVE REPORTED VIA (B)(4) THAT A 1267-100 125-DEGREE RADIOLUCENT TARGETING ARM BROKE WHILE THE SURGEON WAS TRYING TO REMOVE THE IMPACTOR PAD TO GET BETTER VISUALIZATION ON THE LATERAL X-RAY TO VERIFY PIN PLACEMENT DURING A CASE. THERE WERE NO ADVERSE EVENTS, AND THE CASE WAS FINISHED WITH NO ISSUES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
9525 125° RADIOLUCENT TARGETING ARM ORTHOPEDIC MANUAL SURG INSTR HSB ARTHREX, INC. 125° RADIOLUCENT TARGETING ARM 212569 00848665028652

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown