FDA Adverse Event Injury Summary report: N

K-WR SGL END TRCR TIP SMTH 1.1X100MM

MDR report key: 24628844 · Received March 18, 2026

Report

Report Number
3008650117-2026-00069
Event Type
Injury
Date Received
March 18, 2026
Date of Event
January 7, 2026
Report Date
March 16, 2026
Manufacturer
PARAGON 28
Product Code
HXI
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). G2: EVENT OCCURRED IN CANADA. CUSTOMER HAS INDICATED THAT THE PRODUCT WILL NOT BE RETURNED TO ZIMMER BIOMET FOR INVESTIGATION, AS THE DEVICE WAS REQUESTED BUT NOT RETURNED BY THE HOSPITAL. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A FOLLOW-UP MDR WILL BE SUBMITTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A HEMIEPIPHYSIODESIS PROCEDURE, THE K-WIRE FRACTURED DURING DRILLING, AND THE FRACTURED PIECE WAS RETAINED BY THE PATIENT. ATTEMPTS HAVE BEEN MADE AND NO ADDITIONAL INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
687294 K-WR SGL END TRCR TIP SMTH 1.1X100MM PASSER, WIRE, ORTHOPEDIC HXI PARAGON 28 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other