FDA Adverse Event
Malfunction
Summary report: N
1043534-2012-01052
MDR report key: 2853672
·
Received December 3, 2012
Report
- Report Number
- 1043534-2012-01052
- Event Type
- Malfunction
- Date Received
- December 3, 2012
- Report Date
- August 27, 2012
- Manufacturer
- WRIGHT MEDICAL TECHNOLOGY, INC.
- PMA / PMN Number
- D091379
- Removal / Correction Number
- R12070001
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
- Health Professional
- *
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |