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