BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACE

    MDR report key: 313727 · Received January 23, 2001

    Report

    Report Number
    1526439-2001-00001
    Event Type
    Other
    Date Received
    January 23, 2001
    Report Date
    January 23, 2001
    Manufacturer
    DEPUY ACROMED, INC.
    Product Code
    HAX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO DEPUY ACROMED THAT AN ACE SPRING PIN WAS NOT FUNCTIONING PROPERLY. THE PRODUCT HAS BEEN RETURNED AND IS CURRENTLY BEING EVALUATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2784 ACE SPRING PIN HAX DEPUY ACROMED, INC. NA 0698W

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other