FDA Adverse Event Malfunction Summary report: N

2.4MM VA-LCP 2-CLMN VLR DSTL RADIUS PL 7H HD/4H SHAFT/LEFT

MDR report key: 3020939 · Received March 26, 2013

Report

Report Number
8030965-2013-10614
Event Type
Malfunction
Date Received
March 26, 2013
Report Date
November 3, 2011
Manufacturer
SYNTHES GMBH
Product Code
HRS
PMA / PMN Number
K083694
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. THE DHR WAS REVIEWED AND NO COMPLAINT RELATED ISSUES WERE FOUND. THE PRODUCT EVALUATION VISUAL INSPECTION REVEALED NO VISIBLE MARKS OR DAMAGES. THERE WAS ALSO NO RUST DETECTED. THIS COMPLAINT WAS FOUND INDETERMINATE FROM A MANUFACTURING STANDPOINT.

Additional Manufacturer Narrative · 1

SYNTHES IS SUBMITTING THIS REPORT AS A RESULT OF REMEDIATION ACTIVITIES RELATED TO FDA WARNING LETTER DATED FEBRUARY 2012. DEVICE(S) LISTED IN THIS REPORT IS (ARE) USED FOR TREATMENT, NOT DIAGNOSIS. ANY ADDITIONAL INFORMATION RECEIVED REGARDING THIS EVENT AFTER FILING THIS REPORT SHALL BE FILED ON A SUPPLEMENTAL MDR. PLACEHOLDER.

Description of Event or Problem · 1

IT WAS REPORTED THAT 7 PLATES WERE FOUND, AND THEY APPEARED TO BE RUSTY. THIS IS 5 OF 7 REPORTS FOR THIS EVENT.

Description of Event or Problem · 1

THIS IS REPORT 5 OF 7 FOR THIS COMPLAINT (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
124700 2.4MM VA-LCP 2-CLMN VLR DSTL RADIUS PL 7H HD/4H SHAFT/LEFT HRS SYNTHES GMBH 3243921

Patients

Seq Age Sex Outcome Treatment
1