FDA Adverse Event Injury Summary report: N

UNKNOWN ALPS METACARPAL HAND/FOOT PLATES

MDR report key: 2163221 · Received July 8, 2011

Report

Report Number
1818910-2011-12213
Event Type
Injury
Date Received
July 8, 2011
Date of Event
June 8, 2011
Report Date
June 8, 2011
Manufacturer
DEPUY ACE S.A. 'R.L.
Product Code
HRS
PMA / PMN Number
NA
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICES ASSOCIATED WITH THIS REPORT WERE NOT RETURNED. REVIEW OF THE DEVICE HISTORY RECORDS AND/OR A COMPLAINT DATABASE SEARCH WAS NOT POSSIBLE AS THE PRODUCT AND LOT CODES REQUIRED WERE UNAVAILABLE. THE INVESTIGATION COULD NOT DRAW ANY CONCLUSIONS REGARDING THE REPORTED EVENT WITH THE INFO AVAILABLE. BASED ON THE INABILITY TO DETERMINE A ROOT CAUSE, THE NEED FOR CORRECTIVE ACTION WAS NOT INDICATED. DEPUY CONSIDERS THE INVESTIGATION CLOSED. SHOULD ANY ADDITIONAL INFO BE RECEIVED TO CHANGE THE OUTCOME OF THE PERFORMED INVESTIGATION, THE COMPLAINT WILL BE RE-OPENED.

Description of Event or Problem · 1

PT WAS REVISED TO ADDRESS POSSIBLE INFECTION. LOOSENING OF THE PLATES WAS ALSO REPORTED. QTY: 2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNKNOWN ALPS METACARPAL HAND/FOOT PLATES TRAUMA DEVICE HRS DEPUY ACE S.A. 'R.L. NA UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention