BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACUMED ACU-LOC

    MDR report key: 951198 · Received November 19, 2007

    Report

    Report Number
    MW5004488
    Event Type
    Other
    Date Received
    November 19, 2007
    Date of Event
    August 1, 2007
    Report Date
    November 5, 2007
    Manufacturer
    UNK
    Product Code
    HRS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FLEXOR TENDON RUPTURE FOLLOWING IMPLANT OF TITANIUM PLATE UTILIZED TO REPAIR FRACTURED WRIST. DATES OF USE: IN 2006, DIAGNOSIS OR REASON FOR USE: FRACTURED WRIST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ACUMED ACU-LOC VOLAR LOCKING PLATE HRS UNK PL 50RDL

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other