FDA Adverse Event Injury Summary report: N

STERNAL LOCKING PLATE

MDR report key: 3003843 · Received March 12, 2013

Report

Report Number
9610905-2013-00003
Event Type
Injury
Date Received
March 12, 2013
Date of Event
October 27, 2012
Report Date
February 25, 2013
Manufacturer
KARL LEIBINGER MEDIZINTECHNIK GMBH CO. KG
Product Code
HRS
PMA / PMN Number
K032413
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REVISIONAL SURGERY WAS PERFORMED DUE TO STERNAL COMPLICATION, POSSIBLE INFECTION. DURING SURGERY, SURGEON DISCOVERED A STERNAL PLATE HAD BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
103351 STERNAL LOCKING PLATE HRS KARL LEIBINGER MEDIZINTECHNIK GMBH CO. KG 24-025-01 31625157

Patients

Seq Age Sex Outcome Treatment
1 Other