FDA Adverse Event Other Summary report: N

PALMAR RADIUS FRACTURE PLATE, LOCKING, MEDIUM, SHO

MDR report key: 1220545 · Received November 3, 2008

Report

Report Number
8010177-2008-00080
Event Type
Other
Date Received
November 3, 2008
Date of Event
September 26, 2008
Report Date
November 3, 2008
Manufacturer
STRYKER OSTEOSYNTHESIS FREIBURG
Product Code
HRS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE PATIENT UNDERWENT SURGERY WITH THE MATRIX SMART LOCK PLATE AT A DIFFERENT HOSPITAL (DATE OF SURGERY UNK). AFTER SURGERY, THE PATIENT VISITED THIS HOSPITAL SINCE HE HAD PAIN IN HIS DISTAL RADIUS. THE SURGEON FOUND THROUGH THE X-RAY THAT THE LOCKING PLATE WAS BROKEN AND THE PIECE OF THE FRACTURED BONE TRANSFERRED AND THE BONE IS FIXED IN INCORRECT ALIGNMENT AS A RESULT. ON 2008 (B) (6), THE REVISION SURGERY WAS PERFORMED. THE SURGEON REMOVED THE LOCKING PLATE AND PERFORMED THE CARPAL TUNNEL RELEASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PALMAR RADIUS FRACTURE PLATE, LOCKING, MEDIUM, SHO IMPLANT HRS STRYKER OSTEOSYNTHESIS FREIBURG J1E00F1671

Patients

Seq Age Sex Outcome Treatment
1 71 YR Required Intervention