BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LORENZ PECTUS SYSTEM

    MDR report key: 589503 · Received April 7, 2005

    Report

    Report Number
    1032347-2005-00004
    Event Type
    Injury
    Date Received
    April 7, 2005
    Report Date
    February 14, 2005
    Manufacturer
    WALTER LORENZ SURGICAL, INC.
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT COMPLICATIONS FOLLOWING PECTUS PROCEDURE PROVIDED THROUHG A COPY OF A WEB SITE COMMUNICATION. USER FACILITY INVESTIGATING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LORENZ PECTUS SYSTEM SUPPORT BAR HRS WALTER LORENZ SURGICAL, INC. NA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization| L| R