BEUDAMED
    FDA Adverse Event Other Summary report: N

    FA SELF DRILL SCREW BLOCK

    MDR report key: 2182300 · Received July 25, 2011

    Report

    Report Number
    MW5021505
    Event Type
    Other
    Date Received
    July 25, 2011
    Report Date
    March 1, 2011
    Manufacturer
    MEDTRONIC SPINAL AND BIOLOGICS
    Product Code
    HWC
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RISK MGR QUESTIONNAIRE: ATLANTIS SCREW CADDY, PART NUMBERS: 176-513 AND 976-516. ACCORDING TO BILLING RECORDS, RECALLED ITEMS WERE PURCHASED BY YOUR FACILITY. NO ADVERSE EVENTS ASSOCIATED WITH RECALLED PRODUCT. SPOKE TO REP (B)(6) - HE HAS ALERTED ALL SURGEONS/STAFF WHO USE THIS TRAY. QTY SHIP 1.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FA SELF DRILL SCREW BLOCK DRILL SCREW BLOCK HWC MEDTRONIC SPINAL AND BIOLOGICS

    Patients

    Seq Age Sex Outcome Treatment
    1