FDA Adverse Event
Injury
Summary report: N
RIBLOC U PLUS RIB PLATE
MDR report key: 7778535
·
Received August 13, 2018
Report
- Report Number
- 3005670412-2018-00006
- Event Type
- Injury
- Date Received
- August 13, 2018
- Date of Event
- June 4, 2018
- Report Date
- June 8, 2018
- Manufacturer
- ACUTE INNOVATIONS LLC
- Product Code
- HRS
- UDI-DI
- 10814493010388
- PMA / PMN Number
- K113318
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PATIENT WAS PLATED APPROXIMATELY ONE YEAR PRIOR. PATIENT COMPLAINED OF LIMITED FUNCTION DUE TO PREVIOUS RIB SURGERY. SURGEONS DETERMINED PLATING CAUSE OF LIMITED FUNCTION. TWO PLATES REMOVED. REPORT 2 OF 2.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 617060 | RIBLOC U PLUS RIB PLATE | RIB PLATE | HRS | ACUTE INNOVATIONS LLC | RIBLOC U PLUS | 10814493010388 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Required Intervention |