FDA Adverse Event Injury Summary report: N

PINN CAN BONE SCREW 6.5MMX45MM

MDR report key: 1033088 · Received April 22, 2008

Report

Report Number
1818910-2008-01393
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
K980314
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 6.5MMX45MM 87NDJ NDJ DEPUY-RAYNHAM, A DIVISION OF DEPUY ORTHOPAEDICS,INC NA X61DV1000

Patients

Seq Age Sex Outcome Treatment
1 71 YR Required Intervention