FDA Adverse Event
Malfunction
Summary report: N
RIBLOCK FRACTURE PLANTING SYSTEM
MDR report key: 7432185
·
Received April 13, 2018
Report
- Report Number
- MW5076485
- Event Type
- Malfunction
- Date Received
- April 13, 2018
- Report Date
- April 13, 2018
- Manufacturer
- ACUTE INNOVATIONS LLC
- Product Code
- HWC
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PATIENT HAD THE FIRST RIBLOCK IMPLANTED IN (B)(6) 2016 AND HAS HAD THREE SURGERIES TO REPLACE BROKEN RIBLOCK DEVICES. A TOTAL OF FOUR OF THESE DEVICES HAVE GOTTEN BROKEN IN HER. AS A RESULT OF DEVICE BREAKAGE, PATIENT HAS SUFFERED A PUNCTURED LUNG, 4 FRACTURED RIBS, SHORTNESS OF BREATH, PNEUMONIA, INFECTION, DISCOMFORT AND HAS LOST HER JOB AND PROFESSION AS A HORSE TRAINER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 274259 | RIBLOCK FRACTURE PLANTING SYSTEM | RIBLOCK FRACTURE PLANTING SYSTEM | HWC | ACUTE INNOVATIONS LLC | |||
| 274260 | RIBLOCK FRACTURE PLANTING SYSTEM | RIBLOCK FRACTURE PLANTING SYSTEM | HWC | ACUTE INNOVATIONS LLC | |||
| 274261 | RIBLOCK FRACTURE PLANTING SYSTEM | RIBLOCK FRACTURE PLANTING SYSTEM | HWC | ACUTE INNOVATIONS LLC | |||
| 274262 | RIBLOCK FRACTURE PLANTING SYSTEM | RIBLOCK FRACTURE PLANTING SYSTEM | HWC | ACUTE INNOVATIONS LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |