BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERI-LOC

    MDR report key: 1153312 · Received September 9, 2008

    Report

    Report Number
    1020279-2008-00232
    Event Type
    Injury
    Date Received
    September 9, 2008
    Report Date
    August 4, 2008
    Manufacturer
    SMITH & NEPHEW, INC., ORTHOPAEDIC DIV.
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT UNDERWENT REVISION SURGERY DUE TO THE PLATE AND SCREW BREAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERI-LOC INTERNAL FIXATION - PLATE HRS SMITH & NEPHEW, INC., ORTHOPAEDIC DIV. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R