BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MYO/WIRE II

    MDR report key: 369210 · Received December 27, 2001

    Report

    Report Number
    2242056-2001-00005
    Event Type
    Injury
    Date Received
    December 27, 2001
    Date of Event
    December 12, 2001
    Report Date
    December 26, 2001
    Manufacturer
    ALTO DEVELOPMENT CORP
    Product Code
    GAQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WIRES INSTALLED IN 2001. FOUR MONTHS LATER, WIRES WERE REMOVED DUE TO BREAKAGE AND REPLACED WITH NEW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    58999 MYO/WIRE II STAINLESS STEEL SUTURE GAQ ALTO DEVELOPMENT CORP * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention