BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SILASTIC GREAT TOE IMPLANT

    MDR report key: 382240 · Received March 14, 2002

    Report

    Report Number
    1816403-2002-00003
    Event Type
    Injury
    Date Received
    March 14, 2002
    Report Date
    February 14, 2002
    Manufacturer
    DOW CORNING CORPORATION
    Product Code
    KWD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTER ALLEGES PATIENT COMPLAINED OF PAIN IN LEFT FOOT WITH MASS GANGLION CYST AND NEEDED IMPLANT REPLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SILASTIC GREAT TOE IMPLANT GREAT TOE IMPLANT KWD DOW CORNING CORPORATION * *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention