FDA Adverse Event Malfunction Summary report: N

VOLAR BEARING PLATE, 11-HOLE, RT

MDR report key: 22079957 · Received May 23, 2025

Report

Report Number
2031009-2025-00007
Event Type
Malfunction
Date Received
May 23, 2025
Date of Event
April 28, 2025
Report Date
May 23, 2025
Manufacturer
TRIMED, INC.
Product Code
HRS
UDI-DI
00842188125119
PMA / PMN Number
K222637
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

A SALES REP REPORTED ON 29APR2025 THAT WHILE REVIEWING THE POST-OP X-RAYS ON (B)(6) 2025 THE SURGEON NOTICED THE ULNA CORNER BEARING HAD COLLAPSED ON THE VBEAR-11-7S. IT WAS REPORTED THAT THE INTRA-OP X-RAYS TAKEN ON (B)(6) 2024 LOOK REASONABLE FOR THE 11-HOLE BEARING PLATE AND REVISION SURGERY HAS NOT YET BEEN CONFIRMED. IT WAS REPORTED THAT THE SURGERY WAS PERFORMED BY A FELLOW WITH AN EXPERIENCED REP IN THE ROOM, THE PROXIMAL SCREWS WERE NOT IMPLANTED SINCE THE FELLOW FELT THE DISTAL ROW FIXATION WAS ADEQUATE AND BELIEVED ALL BEARINGS WERE LOCKED. IT WAS STATED THAT THE PATIENT WAS COMPLIANT WITH POST-OP INSTRUCTIONS. INTRA-OP AND POST-OP X-RAYS WERE PROVIDED BUT PRE-OP X-RAYS COULD NOT BE OBTAINED AND THE DEVICE REMAINS IMPLANTED UNTIL THE REVISION SURGERY IS SCHEDULED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1060239 VOLAR BEARING PLATE, 11-HOLE, RT VOLAR BEARING PLATE, 11-HOLE, RT HRS TRIMED, INC. VBEAR-11-7S 00842188125119

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown