FDA Adverse Event Malfunction Summary report: N

NEUMANN TI ARTHR PLT PROX L RT

MDR report key: 4645268 · Received March 20, 2015

Report

Report Number
9613350-2015-00342
Event Type
Malfunction
Date Received
March 20, 2015
Date of Event
February 17, 2015
Report Date
February 17, 2015
Manufacturer
NORMED MEDIZIN-TECHNIK GMBH
Product Code
HRS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE MANUFACTURER RECEIVED THE DEVICE FOR REVIEW AND INVESTIGATION IS ONGOING. NO SOURCE DOCUMENTS WERE PROVIDED FOR REVIEW. A LOT NUMBER WAS RECEIVED FOR THE DEVICE. THE DEVICE HISTORY RECORDS WILL BE REVIEWED AS PART OF THE INVESTIGATION PROCESS. AS SOON AS ADDITIONAL INFORMATION BECOMES AVAILABLE AND/OR AN INVESTIGATION RESULT BE AVAILABLE, AN AMENDED MEDICAL DEVICE REPORT WILL BE SUBMITTED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT 2 LOTS OF NEUMANN TOTAL ARTHRODESIS PLATES HAVE BEEN MIXED (RIGHT AND LEFT). IT WAS REPORTED THAT THE LATERAL LASER MARKING IS WRONG. TWO NEUMANN TI ARTHR PLT PROX L RT PRODUCTS FROM THE SAME LOT WERE NOTIFIED AND RETURNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
191906 NEUMANN TI ARTHR PLT PROX L RT NEUMANN TI ARTHR PLT PROX L RT HRS NORMED MEDIZIN-TECHNIK GMBH 9420/291C11

Patients

Seq Age Sex Outcome Treatment
1