FDA Adverse Event Injury Summary report: N

HEYER SCHULTE CHIN PROSTHESIS

MDR report key: 38136 · Received September 16, 1996

Report

Report Number
MW1009928
Event Type
Injury
Date Received
September 16, 1996
Date of Event
July 31, 1996
Report Date
September 4, 1996
Manufacturer
V. MUELLER DIV. BAXTER HEALTHCARE CORP.
Product Code
FWP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NJ, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT ADMITTED FOR EXPLANTATION OF CHIN IMPLANT. EXPLANTED 7/31/96. (*)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEYER SCHULTE CHIN PROSTHESIS Implant CHIN PROSTHESIS FWP V. MUELLER DIV. BAXTER HEALTHCARE CORP. * *

Patients

Seq Age Sex Outcome Treatment
1 67 YR Required Intervention