FDA Adverse Event Other Summary report: N

UNI-CP COMPRESSION PLATE

MDR report key: 1246430 · Received November 25, 2008

Report

Report Number
9615741-2008-00033
Event Type
Other
Date Received
November 25, 2008
Date of Event
September 15, 2008
Report Date
November 25, 2008
Manufacturer
NEWDEAL S.A.
Product Code
HRS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
RI, US

Narratives

Additional Manufacturer Narrative · 1

TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVAL. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFO.

Description of Event or Problem · 1

UNITHE SURGERY FOR TALONAVICULAR FUSION TOOK PLACE IN SEPTEMBER. WHEN THE PT HAD AN X-RAY AT A FOLLOW UP EXAMINATION, IT SHOWED THAT THE COMPRESSION PLATE HAD BROKEN. THE DOCTOR WILL REMOVE THE BROKEN PLATE. INTEGRA REQUESTED THAT THE BROKEN PLATE BE SAVED FOR EVAL. FURTHER CLINICAL INFO HAS BEEN REQUESTED IN WRITING FROM THE SURGEON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNI-CP COMPRESSION PLATE LOWER EXTREMITY COMPRESSION PLATE HRS NEWDEAL S.A.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention