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