FDA Adverse Event Malfunction Summary report: N

1.0MM STERNAL CABLE 750MM

MDR report key: 1041381 · Received May 12, 2008

Report

Report Number
1719045-2008-00057
Event Type
Malfunction
Date Received
May 12, 2008
Report Date
April 17, 2008
Manufacturer
SYNTHES MONUMENT
Product Code
JDQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UT, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO INVESTIGATION COULD BE PERFORMED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED. SYNTHES IS UNABLE TO DETERMINE THE MFR DATE WITHOUT A LOT NUMBER.

Description of Event or Problem · 1

THE 1.0 STERNAL CABLES IMPLANTED IN A PT, BROKE POST OPERATIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 1.0MM STERNAL CABLE 750MM STERNAL CABLES JDQ SYNTHES MONUMENT NA NI

Patients

Seq Age Sex Outcome Treatment
1 NI