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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DRIVER, T15 HEXALOBE, BEVELED FT; ORTHOPEDIC MANUAL SURG INSTR

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ARTHREX, INC. DRIVER, T15 HEXALOBE, BEVELED FT; ORTHOPEDIC MANUAL SURG INSTR Back to Search Results
Model Number DRIVER, T15 HEXALOBE, BEVELED FT
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/08/2025
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 during the minimally invasive chevron and akin osteotomy that the screwdriver broke while inserting the screw.The broken pieces were retrieved from the patient.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.
 
Additional Manufacturer Narrative
The reported event was confirmed as one unpackaged ar-8741-42, driver, t15 hexalobe, beveled ft, batch number 1392332, was received for investigation and upon visual inspection, it was observed that the hexalobe tip is broken off.Functional testing was not performed due to the damage of the device.One fragment was returned for evaluation.The most likely cause for the reported failure can be attributed to user error of the device due to applying excessive mechanical forces, over-torquing/over-engaging the driver with the screw head and/or prying/leveraging the driver while engaged with the screw.
 
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Brand Name
DRIVER, T15 HEXALOBE, BEVELED FT
Common Device Name
ORTHOPEDIC MANUAL SURG INSTR
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 Key23657460
Report Number1220246-2025-05216
Device Sequence Number10123553
Product Code LXH
UDI-Device Identifier00888867362659
UDI-Public(01)00888867362659(11)230822(10)1392332
Combination Product (Y/N)N
Initial Reporter CountryEZ
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Distributor
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 12/17/2025
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 NumberDRIVER, T15 HEXALOBE, BEVELED FT
Device Catalogue NumberAR-8741-42
Device Lot Number1392332
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/11/2025
Supplement Date Received by Manufacturer12/04/2025
Initial Report FDA Received Date11/26/2025
Supplement Report FDA Received Date12/17/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/22/2023
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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