BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VHS VARIABLE ANGLE PLATE

    MDR report key: 1058084 · Received June 6, 2008

    Report

    Report Number
    2242816-2008-00085
    Event Type
    Malfunction
    Date Received
    June 6, 2008
    Date of Event
    May 11, 2008
    Report Date
    May 20, 2008
    Manufacturer
    EBI, L.P.
    Product Code
    KTT
    PMA / PMN Number
    K964880
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VHS VARIABLE ANGLE PLATE KTT EBI, L.P. 547500

    Patients

    Seq Age Sex Outcome Treatment
    1