BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLASTIC CIRCULAR PLATE

    MDR report key: 4080800 · Received September 5, 2014

    Report

    Report Number
    MW5038116
    Event Type
    Injury
    Date Received
    September 5, 2014
    Date of Event
    July 25, 2014
    Report Date
    September 5, 2014
    Manufacturer
    TRIMED, INC.
    Product Code
    HRS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VT, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT BROUGHT TO OPERATING ROOM FOR SYMPTOMATIC LOOSE HARDWARE OF THE LEFT WRIST. STATUS POST INTERCARPAL FUSION. REMOVAL OF TRIMED CIRCULAR PLATE AND SCREWS FRACTURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    543360 PLASTIC CIRCULAR PLATE CIRCULAR PLASTIC PLATE HRS TRIMED, INC. C140701 811K

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Required Intervention