MAUDE Adverse Event Report: ARTHREX, INC. LOW-PROFILE AC REPAIR SYSTEM; WASHER, BOLT, NUT

Model Number	LOW-PROFILE AC REPAIR SYSTEM
Medical Device Problem Code	Expiration Date Error (2528)
Health Effect - Clinical Code	Unspecified Infection (1930)
Date of Event	09/01/2023
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
The contribution of the device to the reported event could not be determined as the device was not returned for evaluation.The root cause of the event could not be determined from the information available and without device evaluation.If the device becomes available for evaluation, a follow-up report will be submitted.
Event or Problem Description
Per sales representative, the surgeon reported that he implanted an expired implant into the patient in july.The patient got an infection but it is unclear if the infection was caused by the expired implant.Per system, the device expiration date is 31-dec-2023 and was not expired during implantation.***update (b)(6) 2023 nroe: further information revealed that the part id was entered incorrectly.The expiration date of the correct part id is 31-may-2023, so the implant was, in fact, expired during implantation.The customer was repeatedly informed that the implant had expired.The procedure performed was an ac joint repair surgery.An additional surgery was performed at the end of august due to the infection.***update (b)(6) 2023 nroe: additional information was provided and revealed that in the additional surgery in august the infection was treated.Also it was reported that three other arthrex implants were implanted in the initial surgery in july.The implants were not removed.No further information received.
Additional Manufacturer Narrative
Additional information: g3, h3, h6.Based on the information provided, which may include the device (if available and returned), pictures, videos, event descriptions, and any additional information from the field, arthrex concluded that the product ar-2371 batch 15039817 was not expired at the time of the surgery.The complaint allegation was not confirmed.The customer¿s picture displays the label of the product with the expiration date of 2027-12-31.No allegations against the ar-2371 batch 15039817 were found.

• Brand Name: LOW-PROFILE AC REPAIR SYSTEM
• Common Device Name: WASHER, BOLT, NUT
• Manufacturer (Section D): ARTHREX, INC.; 1370 creekside boulevard; naples FL 34108 1945
• Manufacturer (Section G): ARTHREX, INC.; 1370 creekside boulevard; naples FL 34108 1945
• Manufacturer Contact: emily shafer ; 8009337001
• MDR Report Key: 18023521
• Report Number: 1220246-2023-08428
• Device Sequence Number: 18082350
• Product Code: HTN
• UDI-Device Identifier: 00888867256637
• UDI-Public: 00888867256637
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• PMA/510(K) Number: K052776
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2023
• Reporter Type: Manufacturer
• Report Source: Foreign,Company Representative
• Initial Reporter Occupation: Administrator/Supervisor
• Type of Report: Initial,Followup
• Report Date (Section B): 02/28/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Health Professional
• Device Model Number: LOW-PROFILE AC REPAIR SYSTEM
• Device Catalogue Number: AR-2371
• Device Lot Number: 15039817
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 10/11/2023
• Supplement Date Received by Manufacturer: 02/18/2025
• Initial Report FDA Received Date: 10/27/2023
• Supplement Report FDA Received Date: 02/28/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 01/02/2023
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Sex: Unknown