FDA Adverse Event
Malfunction
Summary report: N
PATH(R) THREAD CUP ADAPTOR
MDR report key: 3828107
·
Received May 22, 2014
Report
- Report Number
- 3010536692-2014-00862
- Event Type
- Malfunction
- Date Received
- May 22, 2014
- Report Date
- April 22, 2014
- Manufacturer
- MICROPORT ORTHOPEDICS INC.
- Product Code
- KWA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(4).
Description of Event or Problem · 1
ALLEGEDLY TIPS ARE GETTING STUCK ON THE THE ADAPTORS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 306387 | PATH(R) THREAD CUP ADAPTOR | HIP INSTRUMENT | KWA | MICROPORT ORTHOPEDICS INC. | 1314793 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |