FDA Adverse Event Injury Summary report: N

ALM ORTHO INC - CUSTOM DEVICE - LEFT FEMORAL AUGMENT

MDR report key: 23351049 · Received October 21, 2025

Report

Report Number
3029890418-2025-00002
Event Type
Injury
Date Received
October 21, 2025
Report Date
January 9, 2026
Manufacturer
ALM ORTHO, INC
Product Code
PJY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: THE SURGEON REPORTED THAT THE PROXIMAL CONNECTION BETWEEN 060325.03Z AND 060325.03A HELD TOGETHER BY PROXIMAL SCREWS DISCONNECTED. AT THE TIME OF THE INCIDENT, THE PATIENT WAS USING ONE CRUTCH AND HAD RECENTLY BECOME MOBILE. THE SYSTEM WAS INTENDED TO BE USED AS A LARGE FEMORAL AUGMENT TO PRESERVE THE PATIENT'S REMAINING PROXIMAL AND DISTAL FEMUR. SINCE THIS WAS A REVISION TO A CUSTOM DEVICE, IT WAS DECIDED BY THE FAMILY AND THE SURGEON THAT THE BEST COURSE OF ACTION MOVING FORWARD WAS TO REMOVE THE CURRENT ALM DEVICE AND REPLACE IT WITH A TOTAL FEMORAL REPACLEMENT. REVIEW OF THE DEVICE HISTORY RECORD DID NOT FIND ANY DESIGN OR MANUFACTURING DEFECTS. THE PARTS WILL NOT BE RETURNED FOR EVALUATION. THE RISK OF SCREW DISCONNECTION WAS EVALUATED AND NO FURTHER RISK MITIGATION REQUIRED. THIS IS ONLY THE SECOND TIME THIS TYPE OF INCIDENT HAS BEEN OBSERVED. IT IS BELIEVED TO BE AN ISOALTED INCIDENT AND MAY BE RELATED TO THE PATIENT'S CONDITION AND NOT INDICATIVE OF A BROADER TREND.

Additional Manufacturer Narrative · 0

THE REVISION SURGERY HAS NOT BEEN CONDUCTED AS OF THE DATE OF THIS REPORT. THEREFORE, THE DEVICE IS NOT AVAILABLE FOR EVALUATION. A REVIEW OF THE DEVICE HISTORY RECORD DID NOT FIND ANY DESIGN OR MANUFACTURING DEFECTS. THE RISK OF SCREW DISCONNECTION WAS EVALUATED DURING THE RISK ASSESSMENT. ADDITIONAL COMPONENTS WILL BE PROVIDED AFTER DISCUSSIONS WITH THE SURGEON ALONG WITH REPLACEMENT COMPONENTS TO FURTHER MITIGATE THE SCREW DISCONNECTION. THE COMPANY HAS NOT SEEN THIS TYPE OF INCIDENT IN THE PAST AND IT IS DETERMINED TO BE AN ISOLATED INCIDENT.

Description of Event or Problem · 0

THIS IS AN UPDATED TO A PREVIOUSLY REPORTED INCIDENT. ORIGINAL REPORT - ON (B)(6) 2025 THE COMPANY WAS SENT IMAGES CONFIRMING A DISCONNECTION BETWEEN DISTAL SEGMENT AND CENTRAL SEGMENT THAT WAS NOT PRESENT IN THE INITIAL POST-OPERATIVE X-RAYS. THE PHYSICIAN INDICATED THAT A REVISION SURGERY WOULD NEED TO BE PERFORMED. THE PHYSICIAN WORKED WITH THE COMPANY TO ADJUST THE DEVICE TO FURTHER MITIGATE THE RISK OF SCREW DISCONNECTION. A REVISION SURGERY IS TO BE SCHEDULED. THERE WERE NO REPORTS OF PATIENT INJURY OR PERMANENT FUNCTIONAL IMPAIRMENT RELATED TO THE EVENT. ADDITIONAL INFORMATION / UPDATE: A NEW COMPONENT WAS DESIGNED WITH A REDUCED RADIUS OF CURVATURE AND AN 8 DEGREE VARUS VALGUS CORRECTION TO MITIGATE THE RISK OF SCREW SEPARATION AND IMPROVE OVERALL DEVICE STABILITY. THE SUBSEQUENT IMPLANTS WERE MANUFACTURED UNDER BUILD NUMBER (B)(4) ON (B)(6) 2025 AND WERE IMPLANTED ON (B)(6) 2025. IT WAS REPORTED TO ALM THROUGH EMAIL WITH DR (B)(6) ON (B)(6) 2025 THAT THE PROXIMAL CONNECTION HELD TOGETHER BY A PROXIMAL SCREW DISCONNECTED. AT THE TIME OF THE INCIDENT, THE PATIENT WAS USING ONE CRUTCH AND HAD RECENTLY BECOME MOBILE. BASED ON THE INFORMATION AVAILABLE, THERE WERE NO PERMANENT FUNCTIONAL IMPAIRMENTS RELATED TO THIS EVENT.

Description of Event or Problem · 0

ON 09/29/2025 THE COMPANY WAS SENT IMAGES CONFIRMING A DISCONNECTION BETWEEN DISTAL SEGMENT AND CENTRAL SEGMENT THAT WAS NOT PRESENT IN THE INITIAL POST-OPERATIVE X-RAYS. THE PHYSICIAN INDICATED THAT A REVISION SURGERY WOULD NEED TO BE PERFORMED. THE PHYSICIAN WORKED WITH THE COMPANY TO ADJUST THE DEVICE TO FURTHER MITIGATE THE RISK OF SCREW DISCONNECTION. A REVISION SURGERY IS TO BE SCHEDULED. THERE WAS NO REPORTS OF PATIENT INJURY OR PERMANENT FUNCTIONAL IMPAIRMENT RELATED TO THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1841499 ALM ORTHO INC - CUSTOM DEVICE - LEFT FEMORAL AUGMENT PRODUCT CODE PJY PJY ALM ORTHO, INC 06030325.03D

Patients

Seq Age Sex Outcome Treatment
1 20 YR Male Required Intervention