FDA Adverse Event Injury Summary report: N

TRIDENT CROSSFIRE INSERT - UNKNOWN OD

MDR report key: 1252183 · Received November 24, 2008

Report

Report Number
2249697-2008-00378
Event Type
Injury
Date Received
November 24, 2008
Report Date
October 31, 2008
Product Code
KWB
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIDENT CROSSFIRE INSERT - UNKNOWN OD IMPLANT KWB NA UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention