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 |