BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MAUCH

    MDR report key: 1689104 · Received May 7, 2010

    Report

    Report Number
    1836248-2010-00004
    Event Type
    Injury
    Date Received
    May 7, 2010
    Date of Event
    April 4, 2010
    Report Date
    May 7, 2010
    Manufacturer
    OSSUR AMERICAS
    Product Code
    ISY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    PT WAS WALKING AND CYLINDER SHEARED OFF AT DISTAL END. PT FELL AS A RESULT INJURED SHOULDER. PT WENT TO THE DOCTOR, NO FURTHER INFO IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAUCH ISY OSSUR AMERICAS FRM01801U 213791

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Required Intervention