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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. 1.8MM PERC INSERT KIT FOR FIBERTAK; MANUAL INSTR, GENERAL SURGICAL

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ARTHREX, INC. 1.8MM PERC INSERT KIT FOR FIBERTAK; MANUAL INSTR, GENERAL SURGICAL Back to Search Results
Model Number 1.8MM PERC INSERT KIT FOR FIBERTAK
Medical Device Problem Code Physical Resistance/Sticking (4012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/04/2026
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 04-feb-2026, a sales representative reported via (b)(4) that the ar-3610pk-3 1.8mm perc insert kit for fibertak experienced an issue when attempting to do a posterior perc labral repair, but the switching stick from the kit would not slide over the guidewire.The surgeon then removed the wire from the shoulder and tried to pass the guidewire through the switching stick again.It would only go in about 25% of the way before it would stop.The surgeon attempted to use force to pass it through to no avail.This issue was discovered during a case with no patient harm.
 
Additional Manufacturer Narrative
Additional information: g3, h3, h6 -complaint allegation is not confirmed.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 user error due to misaligned insertion prying/leveraging during use.
 
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Brand Name
1.8MM PERC INSERT KIT FOR FIBERTAK
Common Device Name
MANUAL INSTR, GENERAL SURGICAL
Manufacturer (Section D)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 1945
Manufacturer (Section G)
ARTHREX, INC.
1370 creekside boulevard
naples FL 34108 -194
Manufacturer Contact
jared engle
8009337001-73216
MDR Report Key24401326
Report Number1220246-2026-00702
Device Sequence Number15929008
Product Code LXH
Combination Product (Y/N)N
Initial Reporter StateOK
Initial Reporter CountryUS
PMA/510(K) Number
EXEMPT
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) 06/08/2026
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 Number1.8MM PERC INSERT KIT FOR FIBERTAK
Device Catalogue NumberAR-3610PK-3
Device Lot Number15505452
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/04/2026
Supplement Date Received by Manufacturer06/08/2026
Initial Report FDA Received Date02/20/2026
Supplement Report FDA Received Date06/08/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/29/2025
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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