BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EVOLVE HEAD

    MDR report key: 310686 · Received December 20, 2000

    Report

    Report Number
    1043534-2000-00124
    Event Type
    Injury
    Date Received
    December 20, 2000
    Date of Event
    November 14, 2000
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC.
    Product Code
    KIG
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    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 HEAD SMALL JOINT COMPONENT KIG WRIGHT MEDICAL TECHNOLOGY, INC. NA 099A108123

    Patients

    Seq Age Sex Outcome Treatment
    1