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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. TELESCOPING LAG SCREW, LT, 10.5 X 90MM; INTRAMED FIXATN ROD AND ACCESS

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ARTHREX, INC. TELESCOPING LAG SCREW, LT, 10.5 X 90MM; INTRAMED FIXATN ROD AND ACCESS Back to Search Results
Model Number TELESCOPING LAG SCREW, LT, 10.5 X 90MM
Medical Device Problem Code Positioning Failure (1158)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/08/2026
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 08-jan-2026, it was reported by a sales representative via phone that an ar-9094-090l left lag screw, an ar-s0100-381 guide pin, an ar-s0457-000 activation tool, ar-s0100-000 guide pin, ar-s0219-100 drill, ar-s0209-200 drill, ar-9094-11-2030 trochanteric nail, and an ar-9094-085l lag screw were used in a case and neither screw were able to lock into the nail after implantation.All implants were fully explanted, and the surgery was completed using a competitor product nail.This occurred during use in a case with no patient effect.Delay in case 50 minutes.
 
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Brand Name
TELESCOPING LAG SCREW, LT, 10.5 X 90MM
Common Device Name
INTRAMED FIXATN ROD AND ACCESS
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 Key24234271
Report Number1220246-2026-00351
Device Sequence Number13007107
Product Code HSB
UDI-Device Identifier00888867410008
UDI-Public(01)00888867410008(11)250718(17)300630(10)15468794
Combination Product (Y/N)N
Initial Reporter StateUT
Initial Reporter CountryUS
PMA/510(K) Number
K230257
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) 05/14/2026
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 NumberTELESCOPING LAG SCREW, LT, 10.5 X 90MM
Device Catalogue NumberAR-9094-090L
Device Lot Number15468794
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/12/2026
Supplement Date Received by Manufacturer05/13/2026
Initial Report FDA Received Date02/02/2026
Supplement Report FDA Received Date05/14/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/18/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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