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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. 130° RADIOLUCENT TARGETING ARM; ORTHOPEDIC MANUAL SURG INSTR

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ARTHREX, INC. 130° RADIOLUCENT TARGETING ARM; ORTHOPEDIC MANUAL SURG INSTR Back to Search Results
Model Number 130° RADIOLUCENT TARGETING ARM
Medical Device Problem Code Physical Resistance/Sticking (4012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/12/2025
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
On 11/13/2025, it was reported by a sales representative via (b)(4) that a 1268-100 130-degree radiolucent targeting arm green es button was difficult to press and got stuck.This was discovered during the case with no patient harm.
 
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 wear and tear due to damage to the device.The device's manufacturing date is 08-dec-2022.
 
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Brand Name
130° RADIOLUCENT TARGETING ARM
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 Key23706169
Report Number1220246-2025-05355
Device Sequence Number10720216
Product Code HSB
UDI-Device Identifier00848665028645
UDI-Public(01)00848665028645(11)221208(10)220993
Combination Product (Y/N)N
Initial Reporter StateNC
Initial Reporter CountryUS
PMA/510(K) Number
K021008
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Distributor
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 03/10/2026
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 Number130° RADIOLUCENT TARGETING ARM
Device Catalogue Number1268-100
Device Lot Number220993
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/13/2025
Supplement Date Received by Manufacturer03/06/2026
Initial Report FDA Received Date12/03/2025
Supplement Report FDA Received Date03/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/08/2022
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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