MAUDE Adverse Event Report: ORTHOFIX SRL TL PLUS WIRE TENSIONER WITH TIP

Model Number	TRUELOK
Medical Device Problem Code	Mechanical Problem (1384)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	11/06/2025
Type of Reportable Event	Malfunction
Event or Problem Description
Received information stating that user experienced tension issues on two tensioners during surgery of a fractured tibia.As per reporter surgical procedure was delayed by approximately 60 minutes.The patient is reported as being in recovery.
Additional Manufacturer Narrative
Device involved in this event has not been returned for investigation, but it has been requested to return.If the device is returned an investigation will be completed and a follow up report will be submitted.Maintenance, inspection and function testing from the relevant instructions for use pqrmd: the failure modes may be caused by end of life of the product, improper use or improper maintenance.Orthofix does not typically specify the maximum number of uses for re-useable medical devices.The useful life of these devices depends on many factors, including the method and duration of each use, and the handling between uses.Careful inspection and functional testing of the device before use is the best way to determine whether a device has reached its end of serviceable life.[.] all instruments and product components must be visually inspected for any signs of deterioration that may cause failure during use (such as cracks or damage to surfaces), and its functions must be tested before being sterilized.If a component or instrument is believed to be faulty, damaged or suspect, it must not be used.
Event or Problem Description
Received information stating that user experienced tension issues on two tensioners during surgery of a fractured tibia.As per reporter surgical procedure was delayed by approximately 60 minutes.The patient is reported as being in recovery.
Additional Manufacturer Narrative
The items product code 54-1139, lot1 #2008778-10 and lot2 #1508644-10, manufactured in 2020 and 2015 respectively, were returned for further investigation, which confirmed the reported issue.Damage to the hexagonal set screw (code 39402-0003) was observed, preventing proper adjustment of the extended tensioner tip.Analysis of manufacturing records confirmed that the noticed devices were released as conforming according to specifications based on the available information, it cannot be excluded that an insufficient check during the reprocessing procedure may have contributed to the reported event.Maintenance, inspection and function testing from the relevant instructions for use pqrmd: the failure modes may be caused by end of life of the product, improper use or improper maintenance.Orthofix does not typically specify the maximum number of uses for re-useable medical devices.The useful life of these devices depends on many factors, including the method and duration of each use, and the handling between uses.Careful inspection and functional testing of the device before use is the best way to determine whether a device has reached its end of serviceable life.[.] all instruments and product components must be visually inspected for any signs of deterioration that may cause failure during use (such as cracks or damage to surfaces), and its functions must be tested before being sterilized.If a component or instrument is believed to be faulty, damaged or suspect, it must not be used.

• Brand Name: TL PLUS WIRE TENSIONER WITH TIP
• Common Device Name: TL PLUS WIRE TENSIONER WITH TIP
• Manufacturer (Section D): ORTHOFIX SRL; via delle nazioni, 9; bussolengo, verona, italy 37012 ; IT 37012
• Manufacturer (Section G): ORTHOFIX SRL; via delle nazioni, 9; bussolengo, verona, italy 37012 ; IT 37012
• Manufacturer Contact: elvira taccarelli ; via delle nazioni, 9; bussolengo, verona 37012 ; IT 37012
• MDR Report Key: 23714593
• Report Number: 9680825-2025-00050
• Device Sequence Number: 12973106
• Product Code: LXT
• UDI-Device Identifier: 18033509856563
• UDI-Public: 18033509856563
• Combination Product (Y/N): N
• Initial Reporter Country: SF
• PMA/510(K) Number: K941048
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Distributor
• Initial Reporter Occupation: Non-Healthcare Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 03/26/2026

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 Number: TRUELOK
• Device Catalogue Number: 54-1139
• Device Lot Number: 1508644-10
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 11/17/2025
• Supplement Date Received by Manufacturer: 11/17/2025
• Initial Report FDA Received Date: 12/04/2025
• Supplement Report FDA Received Date: 03/30/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 09/28/2015
• Is the Device Labeled for Single Use? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Patient Age: 51 YR
• Patient Sex: Male
• Patient Weight: 96 KG