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