Reported Reactions

Devices › Orthopedic manual surgical instrument

Device brand name · Orthopedic manual surgical instrument

METRx System: medical device reports filed with FDA

1,679 reports name it, 2011–2026. Manufacturer given most often on reports: Medtronic Sofamor Danek USA. Product code LXH.

1,679
device reports naming the brand
0% of all MAUDE reports · about 108 a year
267
reports, 12 months to August 2026
817 in the 12 months before
99%
classified as malfunction
90.1% across the product code
0.1%
classified as death, as reported
1 reports · not verified by FDA

FDA's MAUDE database holds 1,679 reports that name the brand "METRx System" (orthopedic manual surgical instrument), received between January 2011 and August 2026; the manufacturer given most often on reports is Medtronic Sofamor Danek USA. Spellings of one product vary from report to report.

267 reports arrived in the 12 months to August 2026, down 67% from 817 in 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 (99%), injury (1%) and death (0.1%); across all orthopedic manual surgical instrument reports (product code LXH) death is recorded in 0.1% and malfunction in 90.1%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are mechanics altered (40%), optical problem (38.2%) and break (10.3%). The patient problems coded most often are burn(s), hematoma and intracranial hemorrhage. 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."

Reports by month, five years

083166Sep 2021: 23Oct 2021: 12Nov 2021: 20Dec 2021: 92022Jan 2022: 4Feb 2022: 17Mar 2022: 7Apr 2022: 9May 2022: 2Jun 2022: 11Jul 2022: 2Aug 2022: 5Sep 2022: 13Oct 2022: 8Nov 2022: 10Dec 2022: 42023Jan 2023: 4Feb 2023: 5Mar 2023: 9Apr 2023: 7May 2023: 11Jun 2023: 13Jul 2023: 10Aug 2023: 2Sep 2023: 5Oct 2023: 3Nov 2023: 3Dec 2023: 42024Jan 2024: 8Feb 2024: 4Mar 2024: 8Apr 2024: 30May 2024: 46Jun 2024: 38Jul 2024: 34Aug 2024: 37Sep 2024: 26Oct 2024: 35Nov 2024: 33Dec 2024: 1402025Jan 2025: 114Feb 2025: 130Mar 2025: 166Apr 2025: 48May 2025: 32Jun 2025: 30Jul 2025: 35Aug 2025: 28Sep 2025: 23Oct 2025: 44Nov 2025: 26Dec 2025: 342026Jan 2026: 27Feb 2026: 17Mar 2026: 18Apr 2026: 12May 2026: 13Jun 2026: 26Jul 2026: 20Aug 2026: 7

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

By year received

03557102011: 420112013: 52016: 320162017: 62019: 1320192020: 502021: 14120212022: 922023: 7620232024: 4392025: 71020252026: 140

Event type and report source

Event type, as classified on the report

Death0.1%1
Injury1%16
Malfunction99%1,662
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.9%1,677
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.1%2

Grey bar: all 81,663 reports carrying product code LXH. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Mechanics altered67140%1.6%
Optical problem64138.2%0.2%
Breakthe device broke17310.3%43.5%
Mechanical problema mechanical problem593.5%1.5%
Scratched material583.5%1.1%
Material deformation573.4%3.9%
Contamination /decontamination problem523.1%0.7%
Crackthe device cracked291.7%3.2%
Mechanical jam271.6%2.2%
Detachment of device or device componentpart of the device came off211.3%2.5%
Product quality problem110.7%0.1%
Display or visual feedback problem90.5%0%
Loose or intermittent connection90.5%0.6%
Material twisted/bent90.5%2.3%
Poor quality image90.5%0%
Failure to align70.4%0.7%
Material discolored70.4%0.3%
Misfocusing60.4%0%
Peeled/delaminated60.4%0.2%
Degraded50.3%0.3%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Burn(s)a burn10.1%
Hematomaa collection of blood under the skin or in tissue10.1%
Intracranial hemorrhage10.1%
No patient involvement10.1%
Spinal cord injury10.1%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureMETRx SystemProduct code LXHAll MAUDE reports
Reports1,67981,66326,136,888
Share of that pool—2.1%0%
Classified as death, per 1,000 reports119
Classified as injury1%9.2%36.2%
Classified as malfunction99%90.1%62.3%
Filed by the manufacturer99.9%98.6%94.9%

Shares are of reports, not of devices in use. 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."

Other brands with product code LXH

BrandReportsLatest 12 monthsClassified as death
Excel T-Handle2,3681500%
Driving Cap/Threaded1,181580%
Orthopedic Manual Surgical Instrument1,14300.2%
Manual Orthopedic Surgical Instrument1,69300.1%
Glenosphere Inserter Tip8121750%
Baseplate Inserter Rod5611050%
1.5mm Hex Driver Tip, Locking Groove5803320%
R3 Straight Shell Impactor565210%
Driving Cap497650%
5mm Hex Flexible Screwdriver498600.2%
Attune Mod Post Saw Cap Sz 6-8486410%
Exactech57600%
Attune Femoral Impactor3,3281210%
Metrx41530%
Cor/Tri Ant Stem Insert Shaft1,207500%

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." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about METRx System reports

How many FDA reports name METRx System?

1,679 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 267 in the latest 12 months.

What kinds of events are reported?

malfunction (99%), injury (1%) and death (0.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

mechanics altered (40%), optical problem (38.2%), break (10.3%), mechanical problem (3.5%) and scratched material (3.5%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.9%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that METRx System was at fault?

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." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

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. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. 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.