BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROXIMAL INTERPHALANGEAL JOINT PYROCARBON IMPL

    MDR report key: 1905830 · Received November 22, 2010

    Report

    Report Number
    MW5018264
    Event Type
    Injury
    Date Received
    November 22, 2010
    Date of Event
    May 10, 2005
    Report Date
    October 20, 2010
    Manufacturer
    ASCENSION ORTHOPEDICS
    Product Code
    NEG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DISLOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROXIMAL INTERPHALANGEAL JOINT PYROCARBON IMPL PIP JOINT PYROCARBON IMPLANT NEG ASCENSION ORTHOPEDICS

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Required Intervention