BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1043534-2011-00074

    MDR report key: 2554750 · Received May 1, 2012

    Report

    Report Number
    1043534-2011-00074
    Event Type
    Injury
    Date Received
    May 1, 2012
    Date of Event
    January 24, 2011
    Report Date
    February 2, 2011
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC
    PMA / PMN Number
    K003016
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER
    Health Professional
    N

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Male Required Intervention| H