FDA Adverse Event
Injury
Summary report: N
ONE-THIRD TUBULAR PLATE, WITH COLLAR
MDR report key: 669080
·
Received January 23, 2006
Report
- Report Number
- 8031020-2006-00002
- Event Type
- Injury
- Date Received
- January 23, 2006
- Date of Event
- December 31, 2005
- Report Date
- January 5, 2006
- Manufacturer
- STRYKER TRAUMA SELZACH
- Product Code
- HRS
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT HTE PLATE WAS BROKEN AFTER BEING IMPLANTED FOR ONE MONTH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ONE-THIRD TUBULAR PLATE, WITH COLLAR | IMPLANT | HRS | STRYKER TRAUMA SELZACH | NA | K01325 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 15 YR | Required Intervention |