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 |