| Brand Name | TRUELOK TL TORNADO HINGE PACK OF 2 STERILE |
| Common Device Name | TRUELOK TL TORNADO HINGE PACK OF 2 STERILE |
| Manufacturer (Section D) |
| ORTHOFIX SRL |
| via delle nazioni, 9 |
| bussolengo, verona, italy 37012 |
| IT 37012 |
|
| Manufacturer (Section G) |
| Orthofix Srl |
| via delle nazioni, 9 |
|
| bussolengo, verona, italy 37012 |
|
IT
37012
|
|
| Manufacturer Contact |
|
elvira
taccarelli
|
| via delle nazioni, 9 |
| bussolengo, verona 37012
|
|
IT
37012
|
|
| MDR Report Key | 25040208 |
| Report Number | 9680825-2026-00024 |
| Device Sequence Number | 10411071 |
| Product Code |
LXT
|
| UDI-Device Identifier | 18052469476437 |
| UDI-Public | 18052469476437 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | GM |
| PMA/510(K) Number | K941048 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/29/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Model Number | TRUELOK |
| Device Catalogue Number | 99-50-2203M |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 04/22/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 04/22/2026 |
| Supplement Date Received by Manufacturer | 04/22/2026
|
| Initial Report FDA Received Date | 04/30/2026 |
| Supplement Report FDA Received Date | 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 03/17/2026 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Age | 36 YR |
| Patient Sex | Female |
| Patient Weight | 132 LB |
|
|