BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NI

    MDR report key: 310681 · Received December 20, 2000

    Report

    Report Number
    310681
    Event Type
    Injury
    Date Received
    December 20, 2000
    Date of Event
    November 14, 2000
    Report Date
    December 12, 2000
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGIES
    Product Code
    KIG
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    PHYSICIAN

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NI PROSTHETIC RADIAL HEAD KIG WRIGHT MEDICAL TECHNOLOGIES NI 099A108123

    Patients

    Seq Age Sex Outcome Treatment
    1 44 YR Required Intervention # 040A099818.| MODULAR RADIAL HEAD STEM COMPONENT LOT