BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERI-LOC

    MDR report key: 1153309 · Received September 9, 2008

    Report

    Report Number
    8010764-2008-00016
    Event Type
    Injury
    Date Received
    September 9, 2008
    Report Date
    July 22, 2008
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS, GMBH
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PATIENT UNDERWENT REVISION SURGERY DUE TO THE PLATE BREAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERI-LOC INTERNAL FIXATION - PLATE HRS SMITH & NEPHEW ORTHOPAEDICS, GMBH UNK 07JT12410

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| O| R