BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DYNESYS

    MDR report key: 2940759 · Received October 10, 2006

    Report

    Report Number
    9613350-2006-00007
    Event Type
    Injury
    Date Received
    October 10, 2006
    Date of Event
    August 23, 2006
    Report Date
    October 9, 2006
    Manufacturer
    ZIMMER GMBH
    Product Code
    NQP
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BREAKAGE OF PEDICLE SCREW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DYNESYS PEDICLE SCREW 6.4 X 55 NQP ZIMMER GMBH 2259927

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Hospitalization