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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DX SWIVELOCK, 3.5 X 13.5 MM; NON-DEGRADABLE FIXATN FASTENER

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ARTHREX, INC. DX SWIVELOCK, 3.5 X 13.5 MM; NON-DEGRADABLE FIXATN FASTENER Back to Search Results
Model Number DX SWIVELOCK, 3.5 X 13.5 MM
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/26/2025
Type of Reportable Event Malfunction
Event or Problem Description
On 31st july 2025, it was reported by an distributor via email that for 1 unit of ar-8979p, dx swivelock¿, 3.5 mm x 13.5 mm, it broke when the surgeon was rotating it during the procedure.This was detected during a atfl + syndesmosis procedure on (b)(6) 2025.The procedure was completed successfully by replacing it to another ar-8979p.There was no patient harm.
 
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
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 user error of the device due to prying/leveraging the ar-8979p dx swivelock.
 
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Brand Name
DX SWIVELOCK, 3.5 X 13.5 MM
Common Device Name
NON-DEGRADABLE FIXATN FASTENER
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 Key22827478
Report Number1220246-2025-03521
Device Sequence Number15810221
Product Code MBI
UDI-Device Identifier00888867202900
UDI-Public(01)00888867202900(11)250129(17)291231(10)15380427
Combination Product (Y/N)N
Initial Reporter CountryTH
PMA/510(K) Number
K150648
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) 12/12/2025
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 NumberDX SWIVELOCK, 3.5 X 13.5 MM
Device Catalogue NumberAR-8979P
Device Lot Number15380427
Was Device Available for Evaluation? Yes
Distributor Facility Aware Date07/31/2025
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/31/2025
Supplement Date Received by Manufacturer12/11/2025
Initial Report FDA Received Date08/18/2025
Supplement Report FDA Received Date12/12/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/29/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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