FDA Adverse Event
Malfunction
Summary report: N
ORTHOPEDIATRICS PROXIMAL FEMUR PLATE SYSTEM
MDR report key: 3856171
·
Received April 25, 2014
Report
- Report Number
- 3006460162-2014-00004
- Event Type
- Malfunction
- Date Received
- April 25, 2014
- Date of Event
- March 19, 2014
- Report Date
- March 25, 2014
- Manufacturer
- ORTHOPEDIATRICS CORP
- Product Code
- HWC
- PMA / PMN Number
- K111086
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
BONE SCREWS BENT INTRA-OPERATIVELY. AFTER PLATE WAS FIXED, SURGEON TRIED TO REDUCT IT AND NOTICED ON X-RAY THAT SCREW WAS BENT. EXTENDED SURGERY BY 30 MINS BECAUSE OF THE TIME TAKEN TO REPLACE SCREWS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 252331 | ORTHOPEDIATRICS PROXIMAL FEMUR PLATE SYSTEM | BONE SCREW | HWC | ORTHOPEDIATRICS CORP | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |