FDA Adverse Event
Injury
Summary report: N
PINN CAN BONE SCREW 6.5MMX40MM
MDR report key: 1033087
·
Received April 22, 2008
Report
- Report Number
- 1818910-2008-01392
- 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 CAN BONE SCREW 6.5MMX40MM | 87NDJ | NDJ | DEPUY-RAYNHAM, A DIVISION OF DEPUY ORTHOPAEDICS INC. | NA | ZK9JR4000 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Required Intervention |