FDA Adverse Event Malfunction Summary report: N

SILICONE FINGER IMPLANT - SIZE 4

MDR report key: 23729737 · Received December 5, 2025

Report

Report Number
3008395366-2025-00316
Event Type
Malfunction
Date Received
December 5, 2025
Date of Event
November 5, 2025
Report Date
December 5, 2025
Manufacturer
OSTEOTEC LIMITED
Product Code
KYJ
UDI-DI
05060183090057
PMA / PMN Number
K140453
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

SALES MANAGER REPORTED ON 05NOV2025 THAT AN OSTF-4 HAD TO BE REMOVED DUE TO THE IMPLANT BREAKING. IT WAS STATED THAT THE INITIAL CASE TOOK PLACE ON (B)(6) 2025 BUT NEEDED REVISION SURGERY ON (B)(6) 2025. THE SURGEON ULTIMATELY IMPLANTED A SECOND OSTF-4 WITH NO ISSUE. THE SURGEON WAS NOT UPSET ABOUT THE IMPLANT AND TRIED TO COLLECT INFORMATION IF THE PATIENT FELL OR WHAT HAPPENED, HOWEVER, THERE WAS NO ADDITIONAL INFORMATION PROVIDED BY THE PATIENT. A PHOTOGRAPH OF THE FRACTURED IMPLANT WAS PROVIDED, AND THE DEVICE HAS BEEN MADE AVAILABLE FOR RETURN AND EVALUATION. AT THIS STAGE, NO FURTHER INVESTIGATION OR FAILURE ANALYSIS DETAILS ARE AVAILABLE. ADDITIONAL INFORMATION WILL BE SUBMITTED IN A SUPPLEMENTAL MDR IF RECEIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2867465 SILICONE FINGER IMPLANT - SIZE 4 OSTF-4 KYJ OSTEOTEC LIMITED OSTF-4 121912 05060183090057

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention