FDA Adverse Event Malfunction Summary report: N

RONDO

MDR report key: 10244410 · Received July 8, 2020

Report

Report Number
3003249380-2020-00002
Event Type
Malfunction
Date Received
July 8, 2020
Date of Event
June 19, 2020
Report Date
July 8, 2020
Manufacturer
CITIEFFE S.R.L.
Product Code
HWC
UDI-DI
08032909622429
PMA / PMN Number
K113388
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE SCREW WAS REMOVED FOR IMPLANT SITE INFECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
712605 RONDO TITANIUM CANNULATED SCREW HWC CITIEFFE S.R.L. Screw ø4mm L40mm 0PG072630000 08032909622429

Patients

Seq Age Sex Outcome Treatment
1 42 YR Required Intervention