BEUDAMED
    FDA Adverse Event Other Summary report: N

    36X11 CRESCENT CAGE

    MDR report key: 2150765 · Received June 30, 2011

    Report

    Report Number
    MW5021229
    Event Type
    Other
    Date Received
    June 30, 2011
    Date of Event
    June 20, 2011
    Report Date
    June 22, 2011
    Manufacturer
    MEDTRONIC SOFMAR DANEK
    Product Code
    MAX
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PRESENTED FOR AN HAD SPINAL SURGERY COMPLETED. DURING PROCEDURE, SURGERY NOTED A BROKEN PEEK CAGE DURING INSERTION THAT REQUIRED REPLACEMENT. ALL OF BROKEN CAGE RETRIEVED BY SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 36X11 CRESCENT CAGE MAX MEDTRONIC SOFMAR DANEK TZ89

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR