| Brand Name | 3P¿ SM 3.5mm Non-Locking Screw, T15, 16mm |
| Common Device Name | 3P¿ SM 3.5mm Non-Locking Screw, T15, 16mm |
| Manufacturer (Section D) |
| Orthopediatrics |
| 2850 frontier drive |
| warsaw IN |
|
| Manufacturer (Section G) |
| Orthopediatrics, Corp |
| 2850 frontier drive |
|
| warsaw IN |
|
| Manufacturer Contact |
|
james
gunnels
|
| 2850 frontier drive |
| warsaw, IN
|
|
| MDR Report Key | 50793062 |
| Report Number | 3006460162-2026-00052 |
| Device Sequence Number | 13122415 |
| Product Code |
HWC
|
| UDI-Device Identifier | 00840194419796 |
| UDI-Public | 00840194419796 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MO |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Explanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Type of Report
| Initial |
| Report Date (Section B) |
09/16/2026 |
| 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 Number | 00-3135-0016 |
| 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 | 09/01/2026 |
| Initial Report FDA Received Date | 09/16/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |
|
|