BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    REJUVENATE

    MDR report key: 2946136 · Received February 1, 2013

    Report

    Report Number
    2946136
    Event Type
    Malfunction
    Date Received
    February 1, 2013
    Date of Event
    January 28, 2013
    Report Date
    February 1, 2013
    Manufacturer
    STRYKER
    Product Code
    KWB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CO, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    44630 REJUVENATE IMPLANT, HIP KWB STRYKER * *

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR