BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNKNOWN SHOULDER

    MDR report key: 2222855 · Received August 10, 2011

    Report

    Report Number
    1644408-2011-00456
    Event Type
    Other
    Date Received
    August 10, 2011
    Date of Event
    August 1, 2011
    Report Date
    August 1, 2011
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    KWS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY - THE PT HAD A FAILED ROTATOR CUFF. THE DOCTOR DECIDED A REVERSE SHOULD WOULD BE BETTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN SHOULDER UNK KWS ENCORE MEDICAL, L.P. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention