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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. SUTR ANCH,CRKSCRW FT,3.5X 10MM; BONE FIXATION SCREW/PLATE

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ARTHREX, INC. SUTR ANCH,CRKSCRW FT,3.5X 10MM; BONE FIXATION SCREW/PLATE Back to Search Results
Model Number SUTR ANCH,CRKSCRW FT,3.5X 10MM
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/19/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
Event or Problem Description
It was reported that during a foot surgery while the surgeon screwed down the anchor whereupon the chisel itself breaks off at the front of the top.Per complaint reporter there was no harm for patient, operator or third party.The surgery was finished successfully with a new device with the same part number.It was not necessary to switch the surgical technique or do a second surgery.Update dw 25-jun-2025: further information was provided that the broken part was retrieved out of the patient.
 
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 description, and any additional information from the field, arthrex was able to conclude a most likely cause.The most likely cause for the reported failure can be attributed to misuse due to applying excessive mechanical forces upon insertion, improper bone prep and/or prying/leveraging the device during use.
 
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Brand Name
SUTR ANCH,CRKSCRW FT,3.5X 10MM
Common Device Name
BONE FIXATION SCREW/PLATE
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 Key22511834
Report Number1220246-2025-02892
Device Sequence Number8789031
Product Code HWC
UDI-Device Identifier00888867022607
UDI-Public(01)00888867022607(11)250127(17)291231(10)15378927
Combination Product (Y/N)N
Initial Reporter CountrySW
PMA/510(K) Number
K061863
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Company Representative
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 11/13/2025
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 NumberSUTR ANCH,CRKSCRW FT,3.5X 10MM
Device Catalogue NumberAR-1915FT
Device Lot Number15378927
Was Device Available for Evaluation? No
Distributor Facility Aware Date06/19/2025
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/19/2025
Supplement Date Received by Manufacturer11/12/2025
Initial Report FDA Received Date07/15/2025
Supplement Report FDA Received Date11/13/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/27/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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