BEUDAMED
    FDA Adverse Event Injury Summary report: N

    95 DEGREE DCS PLATE

    MDR report key: 243443 · Received October 7, 1999

    Report

    Report Number
    2520274-1999-00059
    Event Type
    Injury
    Date Received
    October 7, 1999
    Date of Event
    March 5, 1999
    Report Date
    September 9, 1999
    Manufacturer
    SYNTHES (USA)
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    PLATE WAS IMPLANTED IN 1998 FOR A NON-UNION OF A COMPOUND FRACTURE OF THE LEFT FEMUR PT SUFFERED IN A MOTOR VEHICLE ACCIDENT ON 09/25/1993. PLATE NOTED AS FRACTURED ON 02/17/1999 AND REMOVED ON 03/05/1999.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 95 DEGREE DCS PLATE Implant DHS/DCS PLATES HRS SYNTHES (USA) NA 1397

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention SCREWS (11/20/1998 TO 03/05/1999).