BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SELF-COMPRESSION PLATE, 12 HOLE, 204MM

    MDR report key: 22470 · Received February 14, 1995

    Report

    Report Number
    1123762-1995-09001
    Event Type
    Injury
    Date Received
    February 14, 1995
    Date of Event
    January 12, 1995
    Report Date
    January 29, 1995
    Manufacturer
    ZIMMER, INC.
    Product Code
    HRS
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    VA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT HAD BROKEN PLATE AND TWO SCREWS, PLATE AND SCREWS WERE REMOVED AND REPLACED WITH A ZMS INTRAMEDULLARY NAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SELF-COMPRESSION PLATE, 12 HOLE, 204MM Implant SELF-COMPRESSION PLAE, 12 HOLE, 204MM HRS ZIMMER, INC. NA 59995300

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization