BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFE SPINE INC.

    MDR report key: 1032548 · Received April 18, 2008

    Report

    Report Number
    MW5006343
    Event Type
    Injury
    Date Received
    April 18, 2008
    Date of Event
    March 18, 2008
    Report Date
    April 18, 2008
    Manufacturer
    LIFE SPINE INC.
    Product Code
    MCV
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFE SPINE INC. PILOT PEDICLE FIXATION SYSTEM MCV LIFE SPINE INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other| S