BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PINN CANN SCREW 6.5MMX35MM

    MDR report key: 1033086 · Received April 22, 2008

    Report

    Report Number
    1818910-2008-01391
    Event Type
    Injury
    Date Received
    April 22, 2008
    Date of Event
    April 2, 2008
    Report Date
    April 2, 2008
    Manufacturer
    DEPUY-RAYNHAM, A DIVISION OF DEPUY ORTHOPAEDICS, INC
    Product Code
    NDJ
    PMA / PMN Number
    K983014
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PINN CANN SCREW 6.5MMX35MM 87NDJ NDJ DEPUY-RAYNHAM, A DIVISION OF DEPUY ORTHOPAEDICS, INC NA BT1C24000

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Required Intervention