BEUDAMED
    FDA Adverse Event Other Summary report: N

    DEPUY

    MDR report key: 1193624 · Received October 9, 2008

    Report

    Report Number
    MW5008588
    Event Type
    Other
    Date Received
    October 9, 2008
    Date of Event
    August 8, 2008
    Report Date
    October 8, 2008
    Manufacturer
    DEPUY ORTHOPAEDICS INC.
    Product Code
    HRS
    Report Source
    Voluntary report
    Reporter Location
    SC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FAILED FIXATION DEVICE. HAD BEEN PLACED 3 WEEKS PRIOR FOR RIGHT DISTAL HUMERUS FRACTURE. DEVICE REMOVED AND REPLACED WITH NEW EQUIPMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY LOCKING PLATE HRS DEPUY ORTHOPAEDICS INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Other