FDA Adverse Event Injury Summary report: N

ACCELSTIM

MDR report key: 22569918 · Received July 22, 2025

Report

Report Number
2183449-2025-00023
Event Type
Injury
Date Received
July 22, 2025
Date of Event
July 11, 2025
Report Date
July 22, 2025
Manufacturer
ORTHOFIX US LLC
Product Code
LOF
UDI-DI
08050040997213
PMA / PMN Number
P210035
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

SEVERAL ATTEMPTS WERE MADE TO RETRIEVE THE DEVICE WITH NO GOOD RESULTS. A REVIEW OF THE DHR WAS PERFORMED - ALL 100 UNITS FROM THE WORK ORDER PASSED FINAL INSPECTION. SHOULD THE DEVICE RETURN FOR INVESTIGATION, FAILURE ANALYSIS WILL BE COMPLETED.

Description of Event or Problem · 0

THE PATIENT CLAIMED THE DEVICE RAISED HER BLOOD PRESSURE CAUSED HER TO GO TO THE EMERGENCY ROOM. ON (B)(6) 2025, A CALL WAS MADE TO THE PATIENT TO GAIN ADDITIONAL INFORMATION. PATIENT DECLINED TO PROVIDE ADDITIONAL DETAILS REGARDING HER EXPERIENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2295074 ACCELSTIM BONE GROWTH STIMULATOR LOF ORTHOFIX US LLC 654300-0001 08050040997213

Patients

Seq Age Sex Outcome Treatment
1 82 YR Female Required Intervention