BEUDAMED
    FDA Adverse Event Summary report: N

    CHARLOTTE CAROLINA JONES FRACTURE SYSTEM

    MDR report key: 1844955 · Received September 9, 2010

    Report

    Report Number
    1844955
    Date Received
    September 9, 2010
    Date of Event
    August 20, 2010
    Report Date
    August 31, 2010
    Manufacturer
    WRIGHT MEDICAL
    Product Code
    HWC
    Report Source
    User Facility report
    Reporter Location
    MO, US

    Narratives

    Description of Event or Problem · 1

    CHARLOTTE CAROLINA JONES FRACTURE SYSTEM SCREW BROKE. THE PATIENT WAS IN PAIN AND UNABLE TO WORK. THE SCREW WAS SURGICALLY REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHARLOTTE CAROLINA JONES FRACTURE SYSTEM NON-CANNULATED SCREW HWC WRIGHT MEDICAL 56015555 *

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR