FDA Adverse Event
Injury
Summary report: N
NONE
MDR report key: 2607415
·
Received June 4, 2012
Report
- Report Number
- 3004608878-2012-00115
- Event Type
- Injury
- Date Received
- June 4, 2012
- Report Date
- June 4, 2012
- Manufacturer
- INTEGRA LIFESCIENCES CORPORATION OH/USA
- Product Code
- KWM
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE INVOLVED IN THE REPORTED INCIDENT IS NOT EXPECTED TO BE RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED UPON THE REPORTED INFORMATION.
Description of Event or Problem · 1
DOCTOR REPORTED, "PATIENT WITH A UNIVERSAL2 TOTAL WRIST IMPLANT SHOWED SIGNS OF OSTEOLYSIS." ADDITIONAL CLINICAL INFORMATION HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | NONE | KWM | INTEGRA LIFESCIENCES CORPORATION OH/USA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |