FDA Adverse Event
Injury
Summary report: N
ACCUFUSER
MDR report key: 1628399
·
Received February 22, 2010
Report
- Report Number
- 1722139-2010-00013
- Event Type
- Injury
- Date Received
- February 22, 2010
- Date of Event
- May 24, 2006
- Report Date
- February 10, 2010
- Manufacturer
- WALKMED INFUSION, LLC.
- Product Code
- MEB
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B) (4) CANNOT CONFIRM THE BASIS OF THIS COMPLAINT. SIGNIFICANT TIME HAS PASSED BETWEEN THE EVENT AND THE ALLEGATION OF A PRODUCT DEFECT. NO PRODUCT IS AVAILABLE FOR INVESTIGATION. (B) (4) BELIEVES THAT ITS PRODUCTS DO NOT LEAD TO NARROWING OF THE JOINT SPACE AND/OR CHONDROLYSIS WHEN USED ACCORDING TO THE PRODUCT'S LABELING AND DIRECTIONS FOR USE.
Description of Event or Problem · 1
A MAUDE EVENT REPORT WAS RECEIVED BY MOOG MEDICAL. DESCRIPTION IN MAUDE EVENT REPORT: USE OF POSTOPERATIVE PAIN PUMP DESTROYED SHOULDER CARTILAGE. THE DEVICE IS NOT AVAILABLE FOR EVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACCUFUSER | MEB | WALKMED INFUSION, LLC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |