BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2243265-1999-00094

    MDR report key: 257004 · Received December 21, 1999

    Report

    Report Number
    2243265-1999-00094
    Event Type
    Malfunction
    Date Received
    December 21, 1999
    Date of Event
    November 23, 1999
    Report Date
    December 21, 1999
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    HARDWARE REMOVAL PROCEDURE. BROKEN SCREW DISTAL 1/3. WAS LEFT IN PT.

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Other