BEUDAMED
    FDA Adverse Event Injury Summary report: N

    C TAPER COCR LFIT HEAD

    MDR report key: 296192 · Received September 11, 2000

    Report

    Report Number
    2243265-2000-00075
    Event Type
    Injury
    Date Received
    September 11, 2000
    Date of Event
    August 7, 2000
    Report Date
    September 11, 2000
    Manufacturer
    HOWMEDICA OSTEONICS
    Product Code
    KWY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A 06-2610 WAS FOUND INSIDE THE BOX NOT A 06-2600. THE HOSP HAD TO BORROW A 06-2600 FROM ANOTHER HOSPITAL TO COMPLETE SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 C TAPER COCR LFIT HEAD IMPLANT KWY HOWMEDICA OSTEONICS NA 56629202

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Required Intervention