BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANGELCHIK PROSTHESIS

    MDR report key: 302069 · Received October 26, 2000

    Report

    Report Number
    6000001-2000-00580
    Event Type
    Injury
    Date Received
    October 26, 2000
    Date of Event
    June 6, 1984
    Report Date
    September 30, 2000
    Manufacturer
    AMERICAN HEYER-SCHULTE
    Product Code
    LEI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    CLAIMANT ALLEGES INJURIES AS A RESULT OF AN ANGELCHIK ANTI-REFLUX PROSTHESIS INCLUDING, MIGRATION OF THE ANGELCHIK RING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANGELCHIK PROSTHESIS ANTI-REFLUX PROSTHESIS LEI AMERICAN HEYER-SCHULTE NA 7021240

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other