FDA Adverse Event Injury Summary report: N

PROSTHESIS, HIP COMPONENT

MDR report key: 1060564 · Received June 6, 2008

Report

Report Number
1825034-2008-00169
Event Type
Injury
Date Received
June 6, 2008
Date of Event
April 8, 2008
Report Date
May 12, 2008
Product Code
KWY
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
CO, US
Reporter Occupation
RISK MANAGER

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PROSTHESIS, HIP COMPONENT KWY

Patients

Seq Age Sex Outcome Treatment
1