FDA Adverse Event Malfunction Summary report: N

ASTURA MEDICAL

MDR report key: 23295080 · Received October 15, 2025

Report

Report Number
3015941638-2025-00010
Event Type
Malfunction
Date Received
October 15, 2025
Date of Event
September 17, 2024
Report Date
October 14, 2025
Manufacturer
ASTURA MEDICAL
Product Code
KWQ
UDI-DI
00841379102496
PMA / PMN Number
K160702
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PERFORMANCE TESTING OF THE IMPLANTS SHOW THEY MEET OUR ESTABLISHED PERFORMANCE REQUIREMENTS.

Description of Event or Problem · 0

SCREW BACKED OUT OF PLATE REQUIRING A REVISION SURGERY. ASTURA WAS NOT NOTIFIED OF THIS UNTIL 09/17/2025.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1992594 ASTURA MEDICAL ACP, 2 LEVEL, 32MM KWQ ASTURA MEDICAL CA2000032 701901F 00841379102496

Patients

Seq Age Sex Outcome Treatment
1 60 YR Female Required Intervention