FDA Adverse Event Malfunction Summary report: N

ACU-LOC 1 PLATES

MDR report key: 2840295 · Received April 19, 2012

Report

Report Number
3025141-2012-00044
Event Type
Malfunction
Date Received
April 19, 2012
Report Date
March 15, 2012
Manufacturer
ACUMED LLC
Product Code
HRS
PMA / PMN Number
K012655
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT (MDR # 3025141-2012-00044) AND MDR # 3025141-2012-00045 WERE INITIALLY REPORTED TO ACUMED PRODUCT MANAGEMENT (B)(4) 2012, HOWEVER, ACUMED QUALITY ASSURANCE (DESIGNEE FOR COMPLAINT HANDLING) WAS NOT AWARE OF THESE EVENTS UNTIL (B)(4) 2012.

Description of Event or Problem · 1

SALES REPRESENTATIVES (NOT EMPLOYED BY ACUMED) SAID THAT THEY HAD A FEW FLEXOR TENDON RUPTURES WITH THE VOLAR DISTAL RADIUS ACU-LOC 1 PLATES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACU-LOC 1 PLATES HRS ACUMED LLC

Patients

Seq Age Sex Outcome Treatment
1