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