FDA Adverse Event Malfunction Summary report: N

VOLAR BEARING PLATE, 3-HOLE, LT

MDR report key: 22925953 · Received August 29, 2025

Report

Report Number
2031009-2025-00023
Event Type
Malfunction
Date Received
August 29, 2025
Date of Event
July 31, 2025
Report Date
August 29, 2025
Manufacturer
TRIMED INC
Product Code
HRS
UDI-DI
00842188124938
PMA / PMN Number
K222637
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

SALES REP REPORTED ON 03AUG2025 THAT THE DISTAL SCREWS COLLAPSED IN A VBEAL-3-7S. ORIGINAL IMPLANT DATE IS UNKNOWN. ADDITIONAL INFORMATION WAS PROVIDED ON 12AUG2025 WHERE THE REP STATED NO DEVICES BROKE, THIS WAS NOT A REMOVAL SURGERY, THE DEVICE REMAINS IMPLANTED AND THERE WAS NO REPORTED ADVERSE EVENT. A SECOND FOLLOW-UP ON (B)(6) 2025 INDICATED THAT THERE IS NO REVISION SURGERY PLANNED, THERE IS NO PATIENT DISCOMFORT AND THE SURGEON BELIEVES THE PATIENT WILL HEAL PROPERLY WHILE LEAVING THE PLATE INSITU. TRIMED FOLLOWED UP AGAIN ON (B)(6) 2025 TO GATHER ADDITIONAL X-RAYS AND MORE INSIGHT ON HOW THIS ISSUE WAS DISCOVERED BY THE SURGEON. AN X-RAY WAS PROVIDED ON (B)(6) 2025, WHICH SHOWS THE PLATE IS PARTIALLY FIXED TO THE BONE WITH NO DETAILS ON THE DATE AND TIME OF THE X-RAY. PLATE STILL REMAINS IMPLANTED AND WILL NOT BE RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2164506 VOLAR BEARING PLATE, 3-HOLE, LT VOLAR BEARING PLATE, 3-HOLE, LT HRS TRIMED INC VBEAL-3-7S 00842188124938

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown