BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1043534-2012-00126

    MDR report key: 2568934 · Received May 10, 2012

    Report

    Report Number
    1043534-2012-00126
    Event Type
    Injury
    Date Received
    May 10, 2012
    Date of Event
    December 27, 2011
    Report Date
    December 27, 2011
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC
    PMA / PMN Number
    K021349
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Unknown Required Intervention| H