FDA Adverse Event Death Summary report: N

NI

MDR report key: 1639166 · Received March 22, 2010

Report

Report Number
2520274-2010-00040
Event Type
Death
Date Received
March 22, 2010
Date of Event
February 21, 2010
Report Date
February 22, 2010
Manufacturer
SYNTHES (USA)
Product Code
HRS
PMA / PMN Number
NI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CURRENTLY, IT IS UNKNOWN WHETHER OR NOT THE DEVICE MAY HAVE CAUSED OR CONTRIBUTED TO THE EVENT AS NO PRODUCT HAS BEEN RETURNED. NO CONCLUSION CAN BE DRAWN AT THIS TIME. WE, THEREFORE, CONSIDER THIS REPORT COMPLETE TO THE BEST OF OUR KNOWLEDGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NI STERNAL PLATE HRS SYNTHES (USA) NA NI

Patients

Seq Age Sex Outcome Treatment
1 72 YR Death