FDA Adverse Event Other Summary report: N

9610617-2008-00002

MDR report key: 1020776 · Received February 9, 2008

Report

Report Number
9610617-2008-00002
Event Type
Other
Date Received
February 9, 2008
Product Code
KNW
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THE 27071ZJ IS BEING RETAINED BY THE HOSP; THEY WILL NOT RELEASE IT FOR EVAL. THEY DID SEND PICTURES. THE PICTURES SHOW THAT THE JAWS ARE NO LONGER ATTACHED TO THE HINGE AND THE HINGE PIN APPEARS TO BE MISSING. THERE ARE ALSO RUST-LIKE DISCOLORATIONS IN THE JAW AREA, WHICH MAY BE CORROSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KNW

Patients

Seq Age Sex Outcome Treatment
1