MY3D PERSONALIZED PELVIC RECONSTRUCTION SYSTEM
Report
- Report Number
- 3013450937-2025-00223
- Event Type
- Injury
- Date Received
- September 16, 2025
- Report Date
- September 16, 2025
- Manufacturer
- ONKOS SURGICAL
- Product Code
- LPH
- PMA / PMN Number
- K212815
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
IT WAS REPORTED THAT THE PATIENT IMPLANTED WITH MY3D PELVIS CASE C25-0222 HAD AN ALLEGED INFECTION. THE PATIENT RECEIVED A WASHOUT PROCEDURE- NO DEVICES WERE EXPLANTED DURING THIS PROCEDURE.THE ROOT CAUSE OF THE PATIENT'S ALLEGED INFECTION COULD NOT BE DETERMINED BASED ON AVAILABLE INFORMATION. THE FOLLOWING MDR SUBMISSIONS ARE A PART OF THIS EVENT: 3013450937-2025-00174, 3013450937-2025-00216, 3013450937-2025-00217, 3013450937-2025-00218, 3013450937-2025-00219, 3013450937-2025-00220, 3013450937-2025-00221, 3013450937-2025-00222, 3013450937-2025-00224, 3013450937-2025-00225, 3013450937-2025-00226, 3013450937-2025-00227, 3013450937-2025-00228.
ON (B)(6) 2025 : THE PATIENT IMPLANTED WITH MY3D PELVIC RECONSTRUCTION SYSTEM (B)(4) HAD AN ALLEGED INFECTION. THE PATIENT RECEIVED A WASHOUT PROCEDURE- NO DEVICES WERE EXPLANTED DURING THIS PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2681404 | MY3D PERSONALIZED PELVIC RECONSTRUCTION SYSTEM | CANCELLOUS BONE SCREW | LPH | ONKOS SURGICAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Required Intervention |