FDA Adverse Event
Malfunction
Summary report: N
ROD
MDR report key: 26611
·
Received August 3, 1995
Report
- Report Number
- 26611
- Event Type
- Malfunction
- Date Received
- August 3, 1995
- Date of Event
- April 21, 1995
- Report Date
- May 1, 1995
- Manufacturer
- RICHARDS MEDICAL CO., INC.
- Product Code
- HSB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- IL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
BROKEN HARDWARE REMOVED FROM PT (ROD LEFT FEMUR). NON UNION OF DISTAL FEMUR-RETURNED TO O.R. FOR REPLACEMENT OF ROD. ORIGINAL SURGERY NOT DONE HERE. I.D. NUMBERS NOT AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ROD | ROD | HSB | RICHARDS MEDICAL CO., INC. | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 31 YR | Other |