FDA Adverse Event
Injury
Summary report: N
FASHION ARM SLING, LARGE BOX 10
MDR report key: 2912795
·
Received January 8, 2013
Report
- Report Number
- 1526350-2013-00009
- Event Type
- Injury
- Date Received
- January 8, 2013
- Date of Event
- December 1, 2012
- Report Date
- December 10, 2012
- Manufacturer
- ZIMMER SURGICAL
- Product Code
- ILI
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER. THE INVESTIGATION WAS NOT COMPLETED AT THE TIME OF THIS REPORT. A FOLLOW UP MEDWATCH WILL BE SUBMITTED ONCE THE INVESTIGATION IS COMPLETE.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE ZIMMER ARM SLING WAS IRRITATING TO A PATIENT AS THE ARM SLING WAS REPORTED TO BE MADE FROM A DIFFERENT MATERIAL. NO ADDITIONAL CLINICAL INFORMATION WAS RECEIVED PRIOR TO THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 10331 | FASHION ARM SLING, LARGE BOX 10 | FASHION ARM SLING, LARGE BOX 10 | ILI | ZIMMER SURGICAL | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |