Reported Reactions

Devices › Driver, prosthesis

Device brand name · Driver prosthesis

X25 Final Tightener: medical device reports filed with FDA

477 reports name it, 2017–2026. Manufacturer given most often on reports: Depuy Spine. Product code HWR.

477
device reports naming the brand
0% of all MAUDE reports · about 55 a year
15
reports, 12 months to August 2026
12 in the 12 months before
100%
classified as malfunction
97.5% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

477 medical device reports received by FDA name the brand "X25 Final Tightener" (driver prosthesis); the manufacturer given most often on reports is Depuy Spine; received from October 2017 to March 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

15 reports arrived in the 12 months to August 2026, up 25% from 12 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 (100%); across all driver, prosthesis reports (product code HWR) death is recorded in 0% and malfunction in 97.5%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are material twisted/bent (57.2%), material deformation (27%) and break (8.4%). The patient problems coded most often are not applicable, no patient involvement and foreign body in patient. 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

01223Sep 2021: 6Oct 2021: 5Nov 2021: 11Dec 2021: 102022Jan 2022: 2Feb 2022: 0Mar 2022: 5Apr 2022: 10May 2022: 5Jun 2022: 5Jul 2022: 6Aug 2022: 10Sep 2022: 3Oct 2022: 3Nov 2022: 4Dec 2022: 52023Jan 2023: 11Feb 2023: 6Mar 2023: 15Apr 2023: 1May 2023: 10Jun 2023: 3Jul 2023: 5Aug 2023: 6Sep 2023: 8Oct 2023: 8Nov 2023: 8Dec 2023: 182024Jan 2024: 23Feb 2024: 6Mar 2024: 4Apr 2024: 8May 2024: 1Jun 2024: 1Jul 2024: 1Aug 2024: 0Sep 2024: 0Oct 2024: 1Nov 2024: 1Dec 2024: 22025Jan 2025: 5Feb 2025: 1Mar 2025: 0Apr 2025: 0May 2025: 0Jun 2025: 1Jul 2025: 1Aug 2025: 0Sep 2025: 0Oct 2025: 0Nov 2025: 0Dec 2025: 52026Jan 2026: 0Feb 2026: 0Mar 2026: 10Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0

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

050992017: 920172018: 5620182019: 7120192020: 3320202021: 8020212022: 5820222023: 9920232024: 4820242025: 1320252026: 102026

Event type and report source

Event type, as classified on the report

Death0%0
Injury0%0
Malfunction100%477
Other0%0
Not given0%0

Who filed the report

Manufacturer report100%477
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0%0

Grey bar: all 9,800 reports carrying product code HWR. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Material twisted/bent27357.2%22.1%
Material deformation12927%8.7%
Breakthe device broke408.4%51.1%
Mechanical problema mechanical problem265.5%1.1%
Device-device incompatibility163.4%10.2%
Material integrity problema problem with the device material51%0.9%
Defective devicethe device was defective20.4%0%
Crackthe device cracked10.2%3.3%
Entrapment of device10.2%1.4%
Naturally worn10.2%4.3%

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
Not applicable91.9%
No patient involvement40.8%
Foreign body in patientpart of a device left in the patient20.4%

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

In context

MeasureX25 Final TightenerProduct code HWRAll MAUDE reports
Reports4779,80026,136,888
Share of that pool—4.9%0%
Classified as death, per 1,000 reports009
Classified as injury0%2.4%36.2%
Classified as malfunction100%97.5%62.3%
Filed by the manufacturer100%99.9%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 HWR

BrandReportsLatest 12 monthsClassified as death
Attune Femoral Introducer1,4972020%
Angled Acet Insertr1,090590%
Cor/Tri Ant Stem Insert Shaft1,207500%
Verse X25 Inserter/Tightener686870%
Retaining Stem Inserter627410%
Summit Standard Imp Inserter281150%
Viper2 Final Tightener Driver223220%
Driver214270%
Star Driver 20186570%
Mmsi Final Tightener18500%
Moss Miami Spine System Hexlobe Driver 5 5 X2517500%
Expedium Verse Spine System Inserter/Tightener X2517420%
Expedium Verse1781270%
Symphony1,1631331.6%
Xpdm Quick-Con Si Poly Scwdrvr446130%

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 X25 Final Tightener reports

How many FDA reports name X25 Final Tightener?

477 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 15 in the latest 12 months.

What kinds of events are reported?

malfunction (100%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

material twisted/bent (57.2%), material deformation (27%), break (8.4%), mechanical problem (5.5%) and device-device incompatibility (3.4%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (100%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that X25 Final Tightener 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.