FDA Adverse Event Malfunction Summary report: N

OMNI STABLE AF

MDR report key: 23658870 · Received November 26, 2025

Report

Report Number
3007289093-2025-00015
Event Type
Malfunction
Date Received
November 26, 2025
Date of Event
October 30, 2025
Report Date
November 26, 2025
Manufacturer
EXTREMITY MEDICAL, LLC.
Product Code
HRS
PMA / PMN Number
K212297
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT AN ANTERIOR TIBIA PLATE FRACTURED IN TWO SITES POST-OPERATIVELY. SURGEON SUSPECTS THE FRACTURE OCCURRED SHORTLY AFTER SURGERY AS THE PATIENT REPORTED A MINOR "FUMBLE", ALTHOUGH NO X-RAYS WERE TAKEN AT THE TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2672162 OMNI STABLE AF BONE PLATE HRS EXTREMITY MEDICAL, LLC.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown