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 |