BEUDAMED
    FDA Adverse Event Other Summary report: N

    ASCENSION PIP

    MDR report key: 1350676 · Received January 2, 2009

    Report

    Report Number
    1651501-2009-00002
    Event Type
    Other
    Date Received
    January 2, 2009
    Report Date
    January 2, 2009
    Manufacturer
    ASCENSION ORTHOPEDICS, INC.
    Product Code
    KYJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PIP PROXIMAL COMPONENT FRACTURED POST-OP. BOTH IMPLANTS WERE REMOVED AND A PMMA-SPHERE WAS USED AS A SPACER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENSION PIP TOTAL FINGER JOINT IMPLANT KYJ ASCENSION ORTHOPEDICS, INC. PIP-200 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Other