| Brand Name | FITBONE SUBCUTANEOUS ENERGY RECEIVER |
| Common Device Name | FITBONE SUBCUTANEOUS ENERGY RECEIVER, PRODUCT CODE: HSB |
| 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, italy 37012
|
|
IT
37012
|
|
| MDR Report Key | 25449602 |
| Report Number | 2183449-2026-00024 |
| Device Sequence Number | 9586869 |
| Product Code |
HSB
|
| UDI-Device Identifier | 18053340344692 |
| UDI-Public | 18053340344692 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K203399 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Device Explanted Year | 2026 |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Distributor |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
05/11/2026 |
| 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
|
| Operator of Device |
Health Professional
|
| Device Model Number | FITBONE |
| Device Catalogue Number | 60001780 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 05/05/2026 |
| Initial Report FDA Received Date | 06/09/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 09/11/2025 |
| 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 Sex | Unknown |
|
|