FDA Adverse Event Injury Summary report: N

PROXIMAL INTERPHALANGEAL JOINT PYROCARBON IMPL

MDR report key: 1905842 · Received November 22, 2010

Report

Report Number
MW5018262
Event Type
Injury
Date Received
November 22, 2010
Date of Event
October 19, 2010
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 52 YR Other