BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VBR CAGE

    MDR report key: 14946744 · Received July 6, 2022

    Report

    Report Number
    MW5110727
    Event Type
    Injury
    Date Received
    July 6, 2022
    Date of Event
    December 9, 2020
    Report Date
    July 4, 2022
    Manufacturer
    ULRICH MEDICAL USA, INC.
    Product Code
    MQP
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    FUSION OF C4 TO C5 ON FRONT CAME LOOSE AND PERFORATED THE ESOPHAGUS. FDA SAFETY REPORT ID # (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1986138 VBR CAGE SPINAL VERTEBRAL BODY REPLACEMENT DEVICE MQP ULRICH MEDICAL USA, INC.
    1986139 UNION PLATE APPLIANCE, FIXATION, SPINAL INTERVERTEBRAL BODY MQP ULRICH MEDICAL USA, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention| L| O| H