BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LRG TAP PRI MOD NCK 0DEG 34MM

    MDR report key: 2911060 · Received January 4, 2013

    Report

    Report Number
    9616680-2013-90019
    Event Type
    Injury
    Date Received
    January 4, 2013
    Date of Event
    December 14, 2012
    Report Date
    December 14, 2012
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    MEH
    PMA / PMN Number
    K071082
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFO HAS BEEN REQUESTED AND IF RECEIVED, WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT STRYKER IMPLANTS WERE REMOVED DUE TO ALTR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    4327 LRG TAP PRI MOD NCK 0DEG 34MM IMPLANT MEH STRYKER ORTHOPAEDICS CORK NA 32662001

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Required Intervention