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 |