BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACU-LOC

    MDR report key: 679177 · Received February 22, 2006

    Report

    Report Number
    3025141-2006-00001
    Event Type
    Other
    Date Received
    February 22, 2006
    Date of Event
    December 21, 2005
    Report Date
    January 5, 2006
    Manufacturer
    ACUMED
    Product Code
    KTW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SECOND SURGERY TO REMOVE BROKEN SCREWS AND PLATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACU-LOC BONE SCREW AND PLATE SYSTEM KTW ACUMED PL-D + SCREWS UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other