FDA Adverse Event
Malfunction
Summary report: N
1043534-2012-01184
MDR report key: 2850775
·
Received November 29, 2012
Report
- Report Number
- 1043534-2012-01184
- Event Type
- Malfunction
- Date Received
- November 29, 2012
- Report Date
- September 19, 2012
- Manufacturer
- WRIGHT MEDICAL TECHNOLOGY, INC.
- PMA / PMN Number
- P030027
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Female |