BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAYO CLINIC ELBOW PLATES

    MDR report key: 429145 · Received November 21, 2002

    Report

    Report Number
    3025141-2002-00011
    Event Type
    Injury
    Date Received
    November 21, 2002
    Date of Event
    October 31, 2002
    Report Date
    November 20, 2002
    Manufacturer
    ACUMED
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ONE MONTH AFTER IMPLANT, THE DOCTOR FOUND THE PLATE HAD BROKEN AND REMOVED IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAYO CLINIC ELBOW PLATES BONE PLATE HRS ACUMED NA W05257

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention