FDA Adverse Event Injury Summary report: N

KLS PLATES

MDR report key: 7321340 · Received February 28, 2018

Report

Report Number
7321340
Event Type
Injury
Date Received
February 28, 2018
Date of Event
November 27, 2017
Report Date
February 19, 2018
Manufacturer
KLS MARTIN GROUP
Product Code
HRS
Product Problem
Yes
Report Source
User Facility report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PATIENT WITH CLOSED RIB FRACTURES ON THE RIGHT SIDE HAD SURGERY ON (B)(6) 2017 - RIGHT VATS, RIGHT 9TH AND 10TH RIB PLATING. THIS WAS A TRIAL OF KLS PLATES BY DR. PATIENT RETURNED TO THE OPERATING ROOM ON (B)(6) 2017 FOR REMOVAL OF BROKEN RIB PLATES AND REPLACEMENT OF NEW RIB PLATES RIGHT 9 AND 10 RIBS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
148632 KLS PLATES PLATES HRS KLS MARTIN GROUP 33164231

Patients

Seq Age Sex Outcome Treatment
1 40 YR Hospitalization