OSFERION
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
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.
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 |