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FDA product code LXH · class 1 · Orthopedic

Orthopedic manual surgical instrument: medical device reports filed with FDA

81,663 reports carry this product code, 1994–2026; 30 brands with a page.

81,663
reports with this product code
0.3% of all MAUDE reports
5,725
reports, 12 months to August 2026
6,127 in the 12 months before
90.1%
classified as malfunction
62.3% across all reports
0.1%
classified as death, as reported
0.9% across all reports

Product code LXH is FDA's classification for "Orthopedic manual surgical instrument" (orthopedic panel), a class 1 device. 81,663 medical device reports carry this product code, 0.3% of the MAUDE database, from February 1994 to August 2026.

5,725 reports arrived in the 12 months to August 2026, close to the 6,127 of the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (90.1%), injury (9.2%) and other (0.4%). 30 brand names with a page on this site carry this code; the brands table is ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Brands with this product code

BrandReportsLatest 12 monthsClassified as deathClassified as malfunction
Excel T-Handle2,3611500%99.6%
Driving Cap/Threaded1,180580%99.2%
Orthopedic Manual Surgical Instrument1,03200.2%85.9%
Manual Orthopedic Surgical Instrument1,00100.1%88%
METRx System9652670.1%99%
Glenosphere Inserter Tip8121750%100%
Baseplate Inserter Rod5611050%100%
1.5mm Hex Driver Tip, Locking Groove5413320%93.4%
R3 Straight Shell Impactor502210%91.2%
Driving Cap495650%99.2%
5mm Hex Flexible Screwdriver491600.2%98.6%
Attune Mod Post Saw Cap Sz 6-8483410%99.8%
Exactech45800%53.6%
Attune Femoral Impactor4151210%99.5%
Metrx36330%95.2%
Cor/Tri Ant Stem Insert Shaft358500%94.8%
Inserter For Ti Elastic Nails34810%97.4%
Holding Sleeve-Long For Matrix29630%97.7%
Journey Fem Impact Bumper Lt28680%86%
Journey Fem Impact Bumper Rt284100%89.3%
Helical Blade Coupling Screw28300%90.5%
Pinn Straight Cup Impactor2723150%99.8%
Attune Impaction Handle268640%99.2%
Attune Mod Post Saw Cap Sz 3-5268260%100%
Cable Tensioner26800%96.4%
Angled Reamer Drive Shaft24490%100%
Glenosphere Orientation Guide238130%98.4%
Attune Fb Tibial Impactor2361140%99.4%
Specialist 2 Universal Handle23120%99.3%
Angled Acet Insertr229590%99.5%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Manufacturers named

Manufacturer (as written on reports)ReportsShare
Depuy Orthopaedics6,5448%
Arthrex4,9026%
Depuy Orthopaedics US4,8065.9%
Depuy Orthopaedics 18189104,4385.4%
Synthes4,3365.3%
Medtronic Sofamor Danek USA3,7764.6%
Smith & Nephew2,9113.6%
Depuy Mitek US2,8813.5%
Wrights Lane Synthes USA Products2,4193%
Depuy Ireland - 96166712,3682.9%
Zimmer Biomet2,3572.9%
Stryker Orthopaedics Mahwah2,0932.6%
Depuy Ireland - 30155162661,9932.4%
Depuy Spine1,5721.9%
Stryker Orthopaedics-Mahwah1,4641.8%

Reports by month, five years

0408815Sep 2021: 423Oct 2021: 337Nov 2021: 406Dec 2021: 4292022Jan 2022: 330Feb 2022: 378Mar 2022: 445Apr 2022: 428May 2022: 419Jun 2022: 472Jul 2022: 393Aug 2022: 340Sep 2022: 329Oct 2022: 348Nov 2022: 470Dec 2022: 4922023Jan 2023: 614Feb 2023: 428Mar 2023: 507Apr 2023: 390May 2023: 399Jun 2023: 378Jul 2023: 376Aug 2023: 464Sep 2023: 305Oct 2023: 395Nov 2023: 482Dec 2023: 4252024Jan 2024: 447Feb 2024: 469Mar 2024: 478Apr 2024: 559May 2024: 815Jun 2024: 757Jul 2024: 454Aug 2024: 447Sep 2024: 546Oct 2024: 487Nov 2024: 401Dec 2024: 4592025Jan 2025: 502Feb 2025: 657Mar 2025: 684Apr 2025: 593May 2025: 480Jun 2025: 420Jul 2025: 446Aug 2025: 452Sep 2025: 403Oct 2025: 464Nov 2025: 398Dec 2025: 6992026Jan 2026: 456Feb 2026: 488Mar 2026: 488Apr 2026: 518May 2026: 392Jun 2026: 488Jul 2026: 489Aug 2026: 442

FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

Event type and report source

Event type

Death0.1%55
Injury9.2%7,552
Malfunction90.1%73,591
Other0.4%302
Not given0.2%163

Who filed

Manufacturer report98.6%80,536
Voluntary report0.5%422
User facility report0%0
Distributor report0.2%192
Not given0.6%513

Grey bar: all 26,136,888 MAUDE reports.

Device problems coded

Device problem (FDA code)ReportsShare
Breakthe device broke35,48443.5%
Fracturea broken bone6,9598.5%
Device-device incompatibility6,1497.5%
Material deformation3,2053.9%
Crackthe device cracked2,6183.2%
Detachment of device component2,2442.7%
Detachment of device or device componentpart of the device came off2,0642.5%
Naturally worn1,9912.4%
Material twisted/bent1,8832.3%
Mechanical jam1,8312.2%
Device operates differently than expectedthe device behaved unexpectedly1,6572%
Mechanics altered1,2741.6%
Mechanical problema mechanical problem1,2481.5%
Material integrity problema problem with the device material1,1281.4%
Material fragmentation1,1111.4%
Difficult to removethe device was hard to remove1,0791.3%
Scratched material9311.1%
Physical resistance/sticking9251.1%
Tip breakage8951.1%
Insufficient device problem information8681.1%

Questions about orthopedic manual surgical instrument reports

What is product code LXH?

FDA's classification code for "Orthopedic manual surgical instrument", class 1, reviewed by the orthopedic panel. Every device report carries the product code of the device involved.

How many reports carry this code?

81,663 reports through August 2026, 5,725 of them in the latest 12 months.

Which brands appear most often?

Excel T-Handle (2,361), Driving Cap/Threaded (1,180), Orthopedic Manual Surgical Instrument (1,032), Manual Orthopedic Surgical Instrument (1,001) and METRx System (965). Widely used products collect more reports because more people use them.

Can the brands table be used to rank the devices?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." Brands differ in how many are in use, how long they have been sold and how reports are collected.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.