FDA Adverse Event Injury Summary report: N

WIRE

MDR report key: 2814715 · Received October 5, 2012

Report

Report Number
2520274-2012-02165
Event Type
Injury
Date Received
October 5, 2012
Report Date
September 6, 2012
Product Code
DZK
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). INVESTIGATION COULD NOT BE COMPLETED, NO CONCLUSION COULD BE DRAWN AS NO DEVICE WAS RETURNED AND NO LOT NUMBER WAS PROVIDED. MANUFACTURING RECORDS COULD NOT BE REVIEWED WITHOUT A LOT NUMBER.

Description of Event or Problem · 1

.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WIRE WIRE DZK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention SCREWS| WIRES