FDA Adverse Event Malfunction Summary report: N

GLENOID INSERTER/IMPACTOR, MEDIUM

MDR report key: 24290962 · Received February 9, 2026

Report

Report Number
1220246-2026-00467
Event Type
Malfunction
Date Received
February 9, 2026
Date of Event
January 19, 2026
Report Date
March 16, 2026
Manufacturer
ARTHREX, INC.
Product Code
LXH
UDI-DI
00888867377127
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: D9, G3, H3, H6 THE COMPLAINT ALLEGATION HAS BEEN CONFIRMED. ONE UNPACKAGED AR-9241-02 UNIVERS VAULTLOCK® GLENOID INSERTER / IMPACTER, MEDIUM, BATCH 37622124, WAS RECEIVED FOR EVALUATION. DURING VISUAL INSPECTION, THE BLUE MATERIAL WAS FOUND BROKEN, DETACHED FROM THE MAIN PART. IT WAS NOTED THAT THE INSTRUMENT'S LASER MARKS ARE FADED. A FUNCTIONAL TEST WAS NOT PERFORMED BECAUSE THE DEVICE WAS DAMAGED. THE MOST LIKELY CAUSE OF THE REPORTED FAILURE IS USER ERROR, SPECIFICALLY EXCESSIVE FORCE IMPACTING THE DEVICE. DIRECTIONS FOR USE (DFU) DFU-0023-EO REVISION 5, INSTRUMENTS I. CAUTIONS 2. TO AVOID DAMAGING THE INSTRUMENTS, DO NOT IMPACT OR SUBJECT TO BLUNT FORCE ANY INSTRUMENTS THAT ARE DESIGNED TO BE TURNED OR SCREWED IN. WHEN TWO DEVICES ARE INTENDED TO BE THREADED TOGETHER, ENSURE THAT THEY ARE FULLY ENGAGED PRIOR TO USE.

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 (B)(6) 2026, IT WAS REPORTED BY A SALES REPRESENTATIVE VIA SEMS-07193575 THAT AN AR-9241-02 UNIVERS VAULTLOCK MEDIUM GLENOID INSERTER/IMPACTOR FELL APART WHEN THE SURGEON HIT IT. THIS WAS DISCOVERED DURING USE WITH NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
349863 GLENOID INSERTER/IMPACTOR, MEDIUM ORTHOPEDIC MANUAL SURG INSTR LXH ARTHREX, INC. GLENOID INSERTER/IMPACTOR, MEDIUM 2797 00888867377127

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown