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