BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OCL SPLINT

    MDR report key: 333831 · Received May 17, 2001

    Report

    Report Number
    1928508-2001-00001
    Event Type
    Injury
    Date Received
    May 17, 2001
    Date of Event
    July 12, 1996
    Report Date
    April 15, 2001
    Manufacturer
    M-PACT WORLDWIDE MGMT CORP
    Product Code
    FYH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    POST LEFT FOREARM NONDISPLACED TORUS FRACTURE TO THE DISTAL RADIAL SHAFT, PT WAS REPORTED TO BE SPLINTED WITH AN OCL SUGAR TONG SPLINT. ON NEXT EXAMINATION REPORT IN 1996, TWO HEALING PARTIAL THICKNESS BURN AREAS ON THE DORSAL VOLAR FOREARM WERE NOTED, DORSAL AS MODERATE DEPTH, AND VOLAR AS 2ND DEGREE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    23210 OCL SPLINT PLASTER SPLINTING FYH M-PACT WORLDWIDE MGMT CORP NOT REPORTED NOT REPORTED

    Patients

    Seq Age Sex Outcome Treatment
    1 19 MO Disability ACE BANDAGE WRAP (07/12/1996 TO UNK).