FDA Adverse Event Injury Summary report: N

VALKYRIE THORACIC FIXATION SYSTEM

MDR report key: 22992535 · Received September 8, 2025

Report

Report Number
3014680795-2025-00035
Event Type
Injury
Date Received
September 8, 2025
Date of Event
August 19, 2025
Report Date
September 4, 2025
Manufacturer
J.M. LONGYEAR MANUFACTURING, LLC
Product Code
HRS
PMA / PMN Number
K232515
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR PART 803. THIS REPORT MAY BE BASED ON INFORMATION THAT HAS NOT BEEN ABLE TO BE COMPLETELY INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION THAT THE REPORT CONSTITUTES AND ADMISSION THAT THE DEVICE, THE COMPANY, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. THE PRODUCTS HAVE NOT BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION, THEREFORE A DHR REVIEW COULD NOT BE CONDUCTED. A DEFINITIVE ROOT CAUSE CANNOT BE IDENTIFIED. IF ADDITIONAL INFORMATION RELEVANT TO THE INVESTIGATION OR OTHER CONTENT OF THIS REPORT IS IDENTIFIED, THIS REPORT WILL BE UPDATED. MULTIPLE MDR REPORTS WERE FILED FOR THIS EVENT, PLEASE SEE ASSOCIATED REPORTS: 3014680795-2025-00033; 3014680795-2025-00034; 3014680795-2025-00036

Description of Event or Problem · 0

IT WAS REPORTED A PATIENT THAT UNDERWENT A STERNAL CLOSURE USING A VARIETY OF PLATES AND SCREWS ALONG WITH FIBER TAPE ON (B)(6), 2025 EXPERIENCED A STERNAL DEHISCENCE THAT CORRELATED WITH EXTREME COUGHING FITS. THE PATIENT UNDERWENT REVISION SURGERY TO CORRECT THE STERNAL DEHISCENCE. DURING REOPERATION IT WAS IDENTIFIED THAT ONE X-PLATE DISSOCIATED FROM THE BONE AND THE SECOND X-PLATE COMPLETELY FRACTURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2066405 VALKYRIE THORACIC FIXATION SYSTEM M10 PLATE HRS J.M. LONGYEAR MANUFACTURING, LLC 01-110

Patients

Seq Age Sex Outcome Treatment
1 NA Male Hospitalization| R