| Brand Name | CHIMAERA HFS LAG SCREW FIXED L95MM STERILE |
| Common Device Name | CHIMAERA HFS LAG SCREW FIXED L95MM STERILE |
| Manufacturer (Section D) |
| Orthofix Srl |
| via delle nazioni, 9 |
| bussolengo, verona, 37012 |
| IT 37012 |
|
| Manufacturer (Section G) |
| Orthofix Srl |
| via delle nazioni, 9 |
|
| bussolengo, verona, 37012 |
|
IT
37012
|
|
| Manufacturer Contact |
|
elvira
taccarelli
|
| via delle nazioni, 9 |
| bussolengo, verona, italy 37012
|
|
IT
37012
|
|
| MDR Report Key | 50550450 |
| Report Number | 9680825-2026-00050 |
| Device Sequence Number | 13408796 |
| Product Code |
HSB
|
| UDI-Device Identifier | 18054242514923 |
| UDI-Public | 18054242514923 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | SF |
| PMA/510(K) Number | K161466 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Distributor |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/01/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | CHIMAERA |
| Device Catalogue Number | 99-T93695 |
| Device Lot Number | B5548822 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/14/2026 |
| Initial Report FDA Received Date | 09/01/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 12/15/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Patient Sequence Number | 1 |
| Patient Sex | Female |
| Patient Weight | 171 LB |
|
|