BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SCR/WASH HEXDRV 2.5MM *EA

    MDR report key: 3201184 · Received July 2, 2013

    Report

    Report Number
    1221934-2013-00167
    Event Type
    Malfunction
    Date Received
    July 2, 2013
    Date of Event
    June 26, 2013
    Report Date
    August 3, 2024
    Manufacturer
    DEPUY MITEK LLC US
    Product Code
    LXH
    UDI-DI
    10886705005420
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER
    Health Professional
    N

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    303637 SCR/WASH HEXDRV 2.5MM *EA ORTHOPEDIC MANUAL SURGICAL INSTRUMENT LXH DEPUY MITEK LLC US UNK 10886705005420

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown