FDA Adverse Event
Malfunction
Summary report: N
5.5/6.0 MINI REDUCER
MDR report key: 11976145
·
Received June 10, 2021
Report
- Report Number
- 3006460162-2021-00008
- Event Type
- Malfunction
- Date Received
- June 10, 2021
- Manufacturer
- ORTHOPEDIATRICS, CORP
- Product Code
- NKB
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
BROKE WITH REDUCING ROD.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 877239 | 5.5/6.0 MINI REDUCER | MINI REDUCER | NKB | ORTHOPEDIATRICS, CORP | 01-1300-6000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 10 YR |