BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EVOLVE STEM

    MDR report key: 310684 · Received December 20, 2000

    Report

    Report Number
    1043534-2000-00123
    Event Type
    Injury
    Date Received
    December 20, 2000
    Date of Event
    November 15, 2000
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC.
    Product Code
    KIG
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EVOLVE STEM SMALL JOINT COMPONENT KIG WRIGHT MEDICAL TECHNOLOGY, INC. NA 040A099818

    Patients

    Seq Age Sex Outcome Treatment
    1