BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GLOBAL SHD HYL PEG GLENOID 48

    MDR report key: 376535 · Received February 14, 2002

    Report

    Report Number
    1818910-2002-00073
    Event Type
    Injury
    Date Received
    February 14, 2002
    Report Date
    February 14, 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 PT WAS REVISED DUE TO POLY WEAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GLOBAL SHD HYL PEG GLENOID 48 TOTAL SHOULDER PROSTHESIS KWS DEPUY ORTHOPAEDICS, INC. NA 783210

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention