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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. DX SWIVELOCK SL, 3.5X8.5MM W/FORK EYELET; NON-DEGRADABLE FIXATN FASTENER

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ARTHREX, INC. DX SWIVELOCK SL, 3.5X8.5MM W/FORK EYELET; NON-DEGRADABLE FIXATN FASTENER Back to Search Results
Model Number DX SWIVELOCK SL, 3.5X8.5MM W/FORK EYELET
Medical Device Problem Code Device Dislodged or Dislocated (2923)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 01/16/2026
Type of Reportable Event Malfunction
Event or Problem Description
On 16-jan-2026, it was reported by a sales representative via (b)(4) that an ar-8978p dx swivelock and an ar-8978ds-01 disp kit for dx swivelock were used during an atfl repair.The ar-8978p fork tip would not disengage and pulled out multiple times.This was discovered during the case.
 
Additional Manufacturer Narrative
Investigation is in process.A follow-up report will be provided upon availability of additional information.
 
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Brand Name
DX SWIVELOCK SL, 3.5X8.5MM W/FORK EYELET
Common Device Name
NON-DEGRADABLE FIXATN FASTENER
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 Key24280185
Report Number1220246-2026-00457
Device Sequence Number8579910
Product Code MBI
UDI-Device Identifier00888867193925
UDI-Public(01)00888867193925(11)240515(17)290430(10)15248927
Combination Product (Y/N)N
Initial Reporter StateND
Initial Reporter CountryUS
PMA/510(K) Number
K150648
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) 05/28/2026
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 NumberDX SWIVELOCK SL, 3.5X8.5MM W/FORK EYELET
Device Catalogue NumberAR-8978P
Device Lot Number15248927
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/16/2026
Supplement Date Received by Manufacturer05/28/2026
Initial Report FDA Received Date02/06/2026
Supplement Report FDA Received Date05/28/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/15/2024
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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