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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DRIVER SHAFT, T6, SELF RETAINING,MINI AO; ORTHOPEDIC MANUAL SURG INSTR

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ARTHREX, INC. DRIVER SHAFT, T6, SELF RETAINING,MINI AO; ORTHOPEDIC MANUAL SURG INSTR Back to Search Results
Model Number DRIVER SHAFT, T6, SELF RETAINING,MINI AO
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/21/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during the osteosynthesis of the hand, the driver shaft broke in the handle.No fragments remained inside 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 the visual evaluation of the received ar-18700-15 with batch 1392438 revealed that the end of the device is broken off (see evaluation picture 4).The broken-off part is stuck in the ar-18700-44 with batch 672405a of (b)(4).A functional test was not performed due to the damage to the device.A most likely cause is typically applying excessive leveraging forces during use.
 
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Brand Name
DRIVER SHAFT, T6, SELF RETAINING,MINI AO
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 Key23853662
Report Number1220246-2025-05732
Device Sequence Number15852811
Product Code LXH
UDI-Device Identifier00888867312692
UDI-Public(01)00888867312692(11)241001(10)1392438
Combination Product (Y/N)N
Initial Reporter CountryGM
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
Report Date (Section B) 12/19/2025
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 SHAFT, T6, SELF RETAINING,MINI AO
Device Catalogue NumberAR-18700-15
Device Lot Number1392438
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/19/2025
Initial Report FDA Received Date12/19/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/01/2024
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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