BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER PERIARTICULAR LOCKING PLATE SYSTEM LOCKING SCREW

    MDR report key: 722596 · Received June 2, 2006

    Report

    Report Number
    1822565-2006-00135
    Event Type
    Injury
    Date Received
    June 2, 2006
    Date of Event
    April 22, 2006
    Report Date
    May 2, 2006
    Manufacturer
    ZIMMER, INC.
    Product Code
    HWC
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE DEVICES WERE IMPLANTED IN 2006. ON APRIL 22, 2006, POST-OP X-RAY SHOWED THE LOCKING SCREWS APPEARED TO BE BROKEN AT THE PLATE/SCREW SHAFT INTERFACE. THE DEVICES WERE REVISED IN 2006.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER PERIARTICULAR LOCKING PLATE SYSTEM LOCKING SCREW PERIARTICULAR SCREW HWC ZIMMER, INC. NA 60344727

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Hospitalization| R