FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 2945993 · Received February 1, 2013

Report

Report Number
2945993
Event Type
Injury
Date Received
February 1, 2013
Date of Event
December 5, 2012
Report Date
February 1, 2013
Product Code
HWC
Report Source
User Facility report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REMOVAL OF ONE SCREW, ONE STAPLE AND ONE BRACKET.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
44586 UNK UNK HWC UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 24 YR Hospitalization