FDA Adverse Event Injury Summary report: N

EIGHT-PLATE GUIDED GROWTH SYSTEM SCREW, 24MM

MDR report key: 1348915 · Received March 20, 2009

Report

Report Number
2183449-2009-00002
Event Type
Injury
Date Received
March 20, 2009
Report Date
March 18, 2009
Manufacturer
ORTHOFIX INC.
Product Code
HWC
PMA / PMN Number
K031493
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PROVIDED INFORMATION STATES THAT THE SCREW BROKE ALONG THE THREAD DURING TREATMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EIGHT-PLATE GUIDED GROWTH SYSTEM SCREW, 24MM BONE SCREW, 24MM HWC ORTHOFIX INC. GP224 126G

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention