BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ARTHREX PUSHLOCK 4.5 MM X 18.5 MM

    MDR report key: 1060697 · Received June 10, 2008

    Report

    Report Number
    MW5007305
    Event Type
    Injury
    Date Received
    June 10, 2008
    Date of Event
    June 9, 2008
    Report Date
    June 10, 2008
    Manufacturer
    ARTHREX, INC.
    Product Code
    HWC
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    AFTER PUSH LOCK TAPPED INTO BONE, EYELET OF ANCHOR BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARTHREX PUSHLOCK 4.5 MM X 18.5 MM PUSHLOCK 4.5 MM X 18.5 MM HWC ARTHREX, INC. AR-1922 PS

    Patients

    Seq Age Sex Outcome Treatment
    1 Disability