MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 07 report with the FDA on 2010-03-31 for PLUS manufactured by Smith & Nephey, Aarau Switzerland Manufacturing.
[21646571]
It was reported that revision surgery was performed, due to a fracture of the device after the patient fell.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9613369-2010-00019 |
| MDR Report Key | 1648167 |
| Report Source | 07 |
| Date Received | 2010-03-31 |
| Date of Report | 2010-03-30 |
| Date of Event | 2010-01-15 |
| Date Mfgr Received | 2010-01-21 |
| Date Added to Maude | 2010-04-05 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | MRS MELANIE TRAVIS |
| Manufacturer Street | 1450 BROOKS ROAD |
| Manufacturer City | MEMPHIS TN 38116 |
| Manufacturer Country | US |
| Manufacturer Postal | 38116 |
| Manufacturer Phone | 9013996233 |
| Manufacturer G1 | AARAU SWITZERLAND MANUFACTURING SITE |
| Manufacturer Street | SCHACHENALLEE 29 |
| Manufacturer City | AARAU |
| Manufacturer Country | SZ |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PLUS |
| Generic Name | INSERT/LPF |
| Product Code | LPF |
| Date Received | 2010-03-31 |
| Lot Number | 0412.60.4687 |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITH & NEPHEY, AARAU SWITZERLAND MANUFACTURING |
| Manufacturer Address | AARAU SZ |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization; 2. Required No Informationntervention | 2010-03-31 |