FDA Adverse Event Injury Summary report: N

3.5/4.0 MEDIAL COLUMN FUSION PLATE SHORT

MDR report key: 23404273 · Received October 28, 2025

Report

Report Number
2027754-2025-00054
Event Type
Injury
Date Received
October 28, 2025
Date of Event
August 28, 2025
Report Date
January 6, 2026
Manufacturer
OSTEOMED, LLC
Product Code
HRS
PMA / PMN Number
K131445
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MX
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

EXAMINATION HAS BEEN PERFORMED; HOWEVER, NO SIGNS OF ABUSE OR BREAKAGE WERE IDENTIFIED. IT IS UNCLEAR WHAT CAUSED THE REPORTED PAIN TO NECESSITATE THE PLATES REMOVAL. COMPLAINT RATE HAS EXCEEDED THE UPPER CONTROL LIMIT FOR THIS MATERIAL GROUP, HOWEVER AS THIS IS THE FIRST REPORTED COMPLAINT FOR THIS PART, NO TREND IS CURRENTLY BEING OBSERVED. NO ROOT CAUSE DETERMINATION CAN BE MADE. RELATED REPORTS (INCLUDING THIS ONE): 2027754-2025-00055, 2027754-2025-00056, 2027754-2026-00001, 2027754-2026-00002, 2027754-2026-00003, 2027754-2026-00004, 2027754-2026-00005, 2027754-2026-00006, 2027754-2026-00007.

Additional Manufacturer Narrative · 0

TO DATE, THE DEVICE HAS NOT RETURNED FOR EVALUATION, THE ROOT CAUSE COULD NOT BE ESTABLISHED. ADDITIONAL REPORTING ON THIS EVENT WILL BE PROVIDED AS A FOLLOW UP REPORT IF MORE INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 0

IT WAS REPORTED THAT "EIGHT YEARS PRIOR TO HIS SURGERY, THE PATIENT REPORTED A TRAUMATIC EVENT DUE TO A FALL FROM A FORMWORK ROOF, LANDING ON THE TIP AND IN ABDUCTION OF THE MIDFOOT, SUBSEQUENTLY PRESENTING OVER THE FOLLOWING YEARS WITH SIGNIFICANT ABDUCTION DEVIATION OF THE LEFT FOOT AT THE EXPENSE OF THE TALONAVICULAR JOINT. THEREFORE, AN ARTHRODESIS OF THE MEDIAL COLUMN OF THE LEFT FOOT WAS PERFORMED WITH A SPECIAL TITANIUM PLATE. THE PATIENT EVOLVED POORLY, WITH PAIN SINCE THE INITIATION OF WEIGHT-BEARING AT 12 WEEKS. AT 11 MONTHS, A REVISION SURGERY WAS PERFORMED, FINDING A TALONAVICULAR PSEUDARTHROSIS AND SEVERE METALLOSIS."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1551165 3.5/4.0 MEDIAL COLUMN FUSION PLATE SHORT PLATE, FIXATION, BONE HRS OSTEOMED, LLC 336-3562 1159976

Patients

Seq Age Sex Outcome Treatment
1 30 YR Male Other