BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RIGHT TOTAL SHOULDER ARTHROPLASTY

    MDR report key: 1081104 · Received July 23, 2008

    Report

    Report Number
    1081104
    Event Type
    Injury
    Date Received
    July 23, 2008
    Date of Event
    April 8, 2008
    Report Date
    July 22, 2008
    Manufacturer
    UNK
    Product Code
    HSD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD A RIGHT SHOULDER HEMI-ARTHROPLASTY IN 2006. "PT HAD REVISION/RIGHT TOTAL KNEE SHOULDER ARTHROPLASTY," REMOVAL OF HEMI ARTHROPLASTY COMPONENTS IN O.R. ON THIS DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RIGHT TOTAL SHOULDER ARTHROPLASTY HSD UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR