FDA Adverse Event
Malfunction
Summary report: N
XL OLLIF INSERTER
MDR report key: 22629784
·
Received July 28, 2025
Report
- Report Number
- MW5173406
- Event Type
- Malfunction
- Date Received
- July 28, 2025
- Date of Event
- July 23, 2025
- Report Date
- July 24, 2025
- Manufacturer
- ADVANCED RESEARCH MEDICAL LLC
- Product Code
- LXH
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MN, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING SURGICAL PROCEDURE, DR. (B)(6) WAS USING THE CAGE INSERTER FOR A REVISION OF A PREVIOUS CAGE (FUSION). DURING USE, THE TIP OF THE CAGE INSERTER GOT STUCK INSIDE THE CAGE AND BROKE OFF INSIDE THE IMPLANTED CAGE. UNABLE TO RETRIEVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2663979 | XL OLLIF INSERTER | ORTHOPEDIC MANUAL SURGICAL INSTRUMENT | LXH | ADVANCED RESEARCH MEDICAL LLC | A-00-2 REV A | PF045AA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 49 YR | Male | Other |