FDA Adverse Event Injury Summary report: N

GLOBAL SHD HYL FIN GLENOID 44

MDR report key: 370448 · Received January 9, 2002

Report

Report Number
1818910-2002-00025
Event Type
Injury
Date Received
January 9, 2002
Report Date
January 9, 2002
Manufacturer
DEPUY ORTHOPAEDICS, INC.
Product Code
KWS
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE PATIENT WAS REVISED DUE TO WEAR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GLOBAL SHD HYL FIN GLENOID 44 TOTAL SHOULDER PROSTHESIS KWS DEPUY ORTHOPAEDICS, INC. NA 824570

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention