BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GLOBAL SHD HYL FIN GLENOID 44

    MDR report key: 379964 · Received March 6, 2002

    Report

    Report Number
    1818910-2002-00105
    Event Type
    Injury
    Date Received
    March 6, 2002
    Report Date
    March 6, 2002
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KWS
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    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 FIN GLENOID 44 TOTAL SHOULDER PROSTHESIS KWS DEPUY ORTHOPAEDICS, INC. NA 998120

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Required Intervention