BEUDAMED
    FDA Adverse Event Other Summary report: N

    BOLLARD MINIPLATE

    MDR report key: 2740439 · Received September 5, 2012

    Report

    Report Number
    MW5026825
    Event Type
    Other
    Date Received
    September 5, 2012
    Report Date
    September 5, 2012
    Manufacturer
    TITA-LINK
    Product Code
    DZE
    Report Source
    Voluntary report
    Reporter Location
    OR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    BRACKETS BROKE TWICE UNDER NORMAL USE. REASON FOR USE: UNDERBITE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BOLLARD MINIPLATE BOLLARD MINIPLATE DZE TITA-LINK

    Patients

    Seq Age Sex Outcome Treatment
    1