BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUTURE WIRE/LRN

    MDR report key: 1413800 · Received July 14, 2009

    Report

    Report Number
    1020279-2009-00622
    Event Type
    Injury
    Date Received
    July 14, 2009
    Date of Event
    June 24, 2009
    Report Date
    July 14, 2009
    Manufacturer
    BROOKS MANUFACTURING SITE
    Product Code
    LRN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NA

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE WIRE BROKE AND HAD TO BE REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUTURE WIRE/LRN LRN BROOKS MANUFACTURING SITE ASKU

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Hospitalization| R