| Brand Name | 10MM X 300MM ADOLESCENT NAIL, RIGHT |
| Common Device Name | 10MM X 300MM ADOLESCENT NAIL, RIGHT |
| 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 Key | 24767542 |
| Report Number | 3006460162-2026-00013 |
| Device Sequence Number | 18716792 |
| Product Code |
HSB
|
| UDI-Device Identifier | 00841132146934 |
| UDI-Public | 00841132146934 |
| Combination Product (Y/N) | N |
| Initial Reporter State | IN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K172583 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2023 |
| Device Explanted Year | 2026 |
| 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) |
04/02/2026 |
| 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? |
No
|
| Device Model Number | 00-1504-1030 |
| Device Lot Number | 227725-C |
| Was Device Available for Evaluation? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/04/2026 |
| Initial Report FDA Received Date | 04/02/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |
| Patient Weight | 59 KG |
|
|