BEUDAMED
    FDA Adverse Event Other Summary report: N

    SMALL FRAGMENT 4X2 HOLE RECTANGLE PLATE

    MDR report key: 594646 · Received April 22, 2005

    Report

    Report Number
    1032347-2005-00005
    Event Type
    Other
    Date Received
    April 22, 2005
    Report Date
    February 14, 2005
    Manufacturer
    WALTER LORENZ SURGICAL, INC.
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    RECEIVED NOTIFICATION PLATE BROKE SEVERAL DAYS AFTER IMPLANTATION. SURGICAL SITE - CARPAL BONE, SURGICAL PROCEDURE - OSTENOSYNTHESIS OF THE CARPAL BONE FOR THE ARTHRODESIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SMALL FRAGMENT 4X2 HOLE RECTANGLE PLATE PLATE HRS WALTER LORENZ SURGICAL, INC. * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization| O