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 |