BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SHOULDER PROSTHESIS

    MDR report key: 25686 · Received August 14, 1995

    Report

    Report Number
    25686
    Event Type
    Malfunction
    Date Received
    August 14, 1995
    Date of Event
    May 25, 1995
    Report Date
    July 31, 1995
    Manufacturer
    HOWMEDICA
    Product Code
    KWR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BECAME LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHOULDER PROSTHESIS SHOULDER PROSTHESIS KWR HOWMEDICA

    Patients

    Seq Age Sex Outcome Treatment
    1 *