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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DEPTH DEVICE, 2.7 / 3.5 / 4.0MM, LOW PRO; DEPTH GAUGE

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ARTHREX, INC. DEPTH DEVICE, 2.7 / 3.5 / 4.0MM, LOW PRO; DEPTH GAUGE Back to Search Results
Model Number DEPTH DEVICE, 2.7 / 3.5 / 4.0MM, LOW PRO
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/23/2024
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during a patella fracture surgery the narrow "stick" has broken off.The broken piece was received out of the patient.Per complaint reporter there was no harm for patient, operator or third party.The surgery was finished successfully with the same device anyway.It was not necessary to switch the surgical technique or do a second surgery.
 
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
Additional Manufacturer Narrative
Complaint allegation is confirmed.One unpackaged ar-8943-15 low profile depth device batch number: 012351 was received for investigation.Visual evaluation of the returned device noted that the slider pin of the depth device had disassembled at the weld from the slider body.Functional testing was not able to be performed due to the damage to the device.The most likely cause for the reported failure can be attributed to wear and tear incurred from repeated usage/reprocessing.Refer to investigation photos.
 
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Brand Name
DEPTH DEVICE, 2.7 / 3.5 / 4.0MM, LOW PRO
Common Device Name
DEPTH GAUGE
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
jared engle
8009337001
MDR Report Key21294941
Report Number1220246-2025-00144
Device Sequence Number13072695
Product Code HTJ
UDI-Device Identifier00888867052253
UDI-Public(01)00888867052253(11)240115(10)012351
Combination Product (Y/N)N
Initial Reporter CountryFI
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 06/02/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberDEPTH DEVICE, 2.7 / 3.5 / 4.0MM, LOW PRO
Device Catalogue NumberAR-8943-15
Device Lot Number012351
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/09/2025
Supplement Date Received by Manufacturer05/13/2025
Initial Report FDA Received Date02/03/2025
Supplement Report FDA Received Date06/02/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/15/2024
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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