FDA Adverse Event Injury Summary report: N

PHYSICIAN DESIGNED CUSTOM ORTHOPEDIC IMPLANT

MDR report key: 24701504 · Received March 26, 2026

Report

Report Number
3009189869-2026-00006
Event Type
Injury
Date Received
March 26, 2026
Date of Event
September 5, 2025
Report Date
March 26, 2026
Manufacturer
4WEB, INC.
Product Code
PLF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE SUBJECT OF THIS FILING WAS UNIQUELY DESIGNED FOR THIS PATIENT'S SPECIFIC PATHOLOGY BY THE PRESCRIBING PHYSICIAN. NO PRODUCT WAS RETURNED TO THE MANUFACTURER. THE PRODUCTION RECORDS WERE REVIEWED FOR THE PRODUCT INVOLVED, NO MANUFACTURING DEFICIENCIES WERE IDENTIFIED THAT COULD HAVE CONTRIBUTED TO THIS EVENT. THERE IS NO EVIDENCE THAT THE DEVICE CAUSED OR CONTRIBUTED TO THE INCIDENT.

Description of Event or Problem · 0

IT WAS REPORTED TO 4WEB MEDICAL THAT A REVISION SURGERY WAS PERFORMED AS THE PATIENT'S SKIN SPLIT OPEN WHILE WALKING. THE PATIENT WAS NOTED TO HAVE NEUROPATHY WITH ASSOCIATED FOOT NUMBNESS. THE CUSTOM 4WEB DEVICE WAS EXPLANTED APPROXIMATELY 10 MONTHS FOLLOWING THE INITIAL IMPLANTATION PROCEDURE. A SUBSEQUENT PROCEDURE IS PLANNED TO IMPLANT A NEW CUSTOM 4WEB DEVICE AT THE SAME ANATOMICAL LOCATION; HOWEVER, THE REVISION SURGERY HAS NOT YET BEEN SCHEDULED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
767362 PHYSICIAN DESIGNED CUSTOM ORTHOPEDIC IMPLANT PLF 4WEB, INC. 080124.01A 104723

Patients

Seq Age Sex Outcome Treatment
1 52 YR Male Required Intervention