BEUDAMED
    FDA Adverse Event Other Summary report: N

    MAYO CLINIC CONGRUENT BONE PLATE SYSTEM

    MDR report key: 655349 · Received December 20, 2005

    Report

    Report Number
    3025141-2005-00012
    Event Type
    Other
    Date Received
    December 20, 2005
    Report Date
    December 1, 2005
    Manufacturer
    ACUMED
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SECOND SURGERY REQUIRED TO REPLACE BROKEN PLATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAYO CLINIC CONGRUENT BONE PLATE SYSTEM BONE PLATE HRS ACUMED PL-ELOM W13451

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other