FDA Adverse Event
Injury
Summary report: N
INION CPS BIOABSORBABLE PLATING SYSTEM
MDR report key: 553562
·
Received November 1, 2004
Report
- Report Number
- 3003547707-2004-00004
- Event Type
- Injury
- Date Received
- November 1, 2004
- Date of Event
- April 16, 2004
- Report Date
- October 27, 2004
- Manufacturer
- INION LTD.
- Product Code
- HRS
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- UK
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
MAXILLARY HYPOPLASIA WITH LE FORT I OSTEOTOMY. AFTER TWO WEEKS MAXILLA WAS FOUND TO BE MOBILE. SCREWS WERE FRACTURED ON THE LEFT. REOPERATION WITH TITANIUM PLATES AND SCREWS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INION CPS BIOABSORBABLE PLATING SYSTEM | BONE FIXATION FASTENER | HRS | INION LTD. | SCR 1224 | 0206025 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 32 YR | Required Intervention |