BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 376914 · Received February 14, 2002

    Report

    Report Number
    376914
    Event Type
    Injury
    Date Received
    February 14, 2002
    Date of Event
    January 29, 2002
    Report Date
    February 8, 2002
    Manufacturer
    UNK
    Product Code
    KTT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    GA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    HISTORY OF SEVERE DJD RIGHT ANKLE WITH ANKLE FUSION IN 1996. NOW HAS PAINFUL RIGHT ANKLE WITH MOVEMENT. PROC: REMOVAL OF FIBULAR PLATE AND RIGHT ANKLE FUSION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK 5 HOLE PLATE / 5 SCREWS KTT UNK A3FT100 *

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Required Intervention