FDA Adverse Event Injury Summary report: N

OSFERION

MDR report key: 25012000 · Received April 28, 2026

Report

Report Number
3007738819-2026-00003
Event Type
Injury
Date Received
April 28, 2026
Date of Event
June 5, 2023
Report Date
April 28, 2026
Manufacturer
OSFERIONBIOMATERIALS CORP. MISHIMA FACTORY
Product Code
MQV
UDI-DI
04560245656906
PMA / PMN Number
K080065
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

BASED ON THE INFORMATION RECEIVED FROM ARTHREX, INC., INCLUDING THEIR MEDICAL DEVICE REPORT, INITIAL REPORT, AND FOLLOW-UP REPORTS, THE COMPLAINT ALLEGATION REGARDING BREAKAGE OF SCREWS WAS CONFIRMED, AND IT WAS CONCLUDED THAT THE MOST LIKELY CAUSE OF THE REPORTED FAILURE WAS ATTRIBUTABLE TO A PATIENT-SPECIFIC FACTOR. THREE (3) "OSFERION" (AR-13370-3) MANUFACTURED BY OUR COMPANY WERE USED AS A BONE VOID FILLER AND WERE NOT LOAD-BEARING FIXATION DEVICES. THERE WAS NO EVIDENCE REPORTED INDICATING BREAKAGE, MALFUNCTION, OR PERFORMANCE FAILURE OF OSFERION. AT THIS TIME, THERE IS NO INFORMATION AVAILABLE TO SUGGEST THAT OUR DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. WE RECEIVED THE INFORMATION FROM ARTHREX, INC., ON APRIL 16, 2026. THIS REPORT IS BEING SUBMITTED TO FDA TO DOCUMENT THAT OUR COMPANY BECAME AWARE OF THE ADVERSE EVENT INVOLVING THE USE OF OUR DEVICE IN CONJUNCTION WITH OTHER MANUFACTURERS' FIXATION COMPONENTS.

Description of Event or Problem · 0

BASED ON INFORMATION PROVIDED BY ARTHREX, INC., IT WAS REPORTED THAT DURING A HIGH TIBIAL OSTEOTOMY PROCEDURE, ARTHREX, INC.-MANUFACTURED CORTICAL SCREWS WERE FOUND BROKEN DURING A POST-OPERATIVE FOLLOW-UP. THE PATIENT DID NOT HAVE ANY SIGNIFICANT COMPLAINTS AND DID NOT RECALL ANY EVENT OR INJURY TO HAVE OCCURRED. A COLLAPSE WAS NOTICED AT THE PATIENT'S OSTEOTOMY SITE. THREE (3) AR-13370-3 "OSFERION" (OSTEOTOMY WEDGES) MANUFACTURED BY OUR COMPANY WERE ALSO IMPLANTED DURING THE SAME PROCEDURE. REVISION SURGERY WAS SUBSEQUENTLY PERFORMED, DURING WHICH THE BROKEN SCREWS AND ASSOCIATED IMPLANTED COMPONENTS, INCLUDING THE THREE (3) AR-13370-3 "OSFERION" (OSTEOTOMY WEDGES), WERE EXPLANTED. THE ORIGINAL PROCEDURE OCCURRED ON (B)(6) 2023, AND REVISION SURGERY OCCURRED ON (B)(6) 2023. BOTH THE INITIAL PROCEDURE AND THE REVISION SURGERY WERE PERFORMED AT THE SAME FACILITY BY THE SAME SURGEON. ACCORDING TO THE INFORMATION RECEIVED, POST-OPERATIVE X-RAY IMAGES WERE REVIEWED AS PART OF THE EVALUATION BY ARTHREX, INC., AND BASED ON THE INFORMATION AVAILABLE, THE EVENT WAS CONCLUDED TO BE MOST LIKELY ATTRIBUTABLE TO A PATIENT-SPECIFIC FACTOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1072234 OSFERION FILLER, BONE VOID, CALCIUM COMPOUND MQV OSFERIONBIOMATERIALS CORP. MISHIMA FACTORY UNKNOWN 04560245656906

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization