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