BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 129328 · Received October 17, 1997

    Report

    Report Number
    129328
    Event Type
    Injury
    Date Received
    October 17, 1997
    Date of Event
    October 7, 1997
    Report Date
    October 15, 1997
    Manufacturer
    UNK
    Product Code
    KIG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT HAD PAIN AND DEFORMITY OF LEFT WRIST. SURGERY DONE TO REPLACE SILASTIC WRIST IMPLANT. IMPLANT FOUND TO BE FRACTURED COMPLETELY AT DISTAL EXTENSION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * Implant SILASTIC WRIST IMPLANT KIG UNK UNK *

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Disability