BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NI

    MDR report key: 505980 · Received January 9, 2004

    Report

    Report Number
    2520274-2003-00044
    Event Type
    Injury
    Date Received
    January 9, 2004
    Date of Event
    December 10, 2003
    Report Date
    December 10, 2003
    Manufacturer
    SYNTHES (USA)
    Product Code
    ILQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A PLATE FROM THE MODULAR HAND SYSTEM BROKE IN THE PATIENT POST-OPERATIVELY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NI NI ILQ SYNTHES (USA) NA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention