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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ORTHOPEDIATRICS 13.5MM MODULAR REAMER HEAD

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ORTHOPEDIATRICS 13.5MM MODULAR REAMER HEAD Back to Search Results
Model Number 01-1500-135
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code Failure of Implant (1924)
Date of Event 12/31/2025
Type of Reportable Event Malfunction
Event or Problem Description
Reamer tip broke off of the reamer shaft inside of the tibial canal.Unable to complete surgery, temporary ex fix put on, revision surgery the next day using a smith and nephew trigen nail.
 
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Brand Name
13.5MM MODULAR REAMER HEAD
Common Device Name
13.5MM MODULAR REAMER HEAD
Manufacturer (Section D)
ORTHOPEDIATRICS
2850 frontier drive
warsaw IN 46582
Manufacturer (Section G)
ORTHOPEDIATRICS, CORP
2850 frontier drive
warsaw IN
Manufacturer Contact
james gunnels
2850 frontier drive
warsaw, IN 
MDR Report Key24224034
Report Number3006460162-2026-00001
Device Sequence Number21178431
Product Code HTO
UDI-Device Identifier00841132150108
UDI-Public00841132150108
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 01/30/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Model Number01-1500-135
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/01/2026
Initial Report FDA Received Date01/30/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Patient Sequence Number1
Outcome Attributed to Adverse Event Other; Hospitalization;
Patient Age15 YR
Patient SexMale
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