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 |