BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 117554 · Received August 22, 1997

    Report

    Report Number
    117554
    Event Type
    Injury
    Date Received
    August 22, 1997
    Date of Event
    June 2, 1997
    Report Date
    July 25, 1997
    Manufacturer
    UNK
    Product Code
    JDN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    BROKEN SCREWS REMOVED FROM SPINAL AREA DUE TO INFECTION AND PSEUDARTHROSIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK Implant UNK JDN UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Hospitalization| R