BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MOE SQUARE-END SPINAL DISTRACTION ROD

    MDR report key: 253603 · Received December 7, 1999

    Report

    Report Number
    1822565-1999-00132
    Event Type
    Injury
    Date Received
    December 7, 1999
    Date of Event
    October 27, 1999
    Report Date
    October 29, 1999
    Manufacturer
    ZIMMER, INC.
    Product Code
    HSB
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAD RODS IMPLANTED IN 1994. ONE ROD FRACTURED AT L1 REQUIRING REMOVAL OF HARDWARE, EXPLORATION OF FUSION AND NEED FOR NEW BONE GRAFT AND HARDWARE INSERTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOE SQUARE-END SPINAL DISTRACTION ROD Implant SPINAL ROD HSB ZIMMER, INC. NA 55476700

    Patients

    Seq Age Sex Outcome Treatment
    1