FDA Adverse Event
Malfunction
Summary report: N
PLATE, FIXATION, BONE
MDR report key: 5013198
·
Received August 19, 2015
Report
- Report Number
- 5013198
- Event Type
- Malfunction
- Date Received
- August 19, 2015
- Date of Event
- July 24, 2015
- Report Date
- July 27, 2015
- Manufacturer
- SYNTHES (USA) PRODUCTS LLC
- Product Code
- HRS
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE PATIENT CAME IN WITH A BROKEN PLATE IN THE FEMUR. THE HARDWARE WAS TAKEN OUT AND A ROD WAS PUT IN. THE OPERATING ROOM INFORMED THE COMPANY REP. I LEFT A MESSAGE WITH SYNTHES TO CALL ME BACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 546955 | PLATE, FIXATION, BONE | HRS | SYNTHES (USA) PRODUCTS LLC | 9277898 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |