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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ARTHREX, INC. IB KIT, BC, W/ CC FT AND JUMPSTART; BIO SOFT TISSUE FIXATN FASTNR

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ARTHREX, INC. IB KIT, BC, W/ CC FT AND JUMPSTART; BIO SOFT TISSUE FIXATN FASTNR Back to Search Results
Model Number IB KIT, BC, W/ CC FT AND JUMPSTART
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/26/2025
Type of Reportable Event Malfunction
Event or Problem Description
On (b)(6) 2026, a sales representative reported via email that an ar-1788j-cp internalbrace implant system had a broken anchor during use.This was discovered during a lateral ankle stabilization with internal brace procedure on (b)(6) 2025, with no reported patient harm.Additional information was received on 23-feb-2025: this issue occurred during the insertion of the 4.75mm swivelock anchor, when the threaded portion cracked.All detached fragments were retrieved.The procedure was completed using a different kit with the same anchor type.The case was delayed for less than one minute, and no additional anesthesia was required.
 
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
IB KIT, BC, W/ CC FT AND JUMPSTART
Common Device Name
BIO SOFT TISSUE FIXATN FASTNR
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 Key24497513
Report Number1220246-2026-01170
Device Sequence Number10617412
Product Code MAI
UDI-Device Identifier00888867318137
UDI-Public(01)00888867318137(11)251020(17)270831(10)15515812
Combination Product (Y/N)N
Initial Reporter StateWA
Initial Reporter CountryUS
PMA/510(K) Number
K101823
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) 06/16/2026
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 NumberIB KIT, BC, W/ CC FT AND JUMPSTART
Device Catalogue NumberAR-1788J-CP
Device Lot Number15515812
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/11/2026
Supplement Date Received by Manufacturer06/15/2026
Initial Report FDA Received Date03/03/2026
Supplement Report FDA Received Date06/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/20/2025
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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