BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GLOBAL SHD HYL FIN GLENOID 52

    MDR report key: 384429 · Received March 27, 2002

    Report

    Report Number
    1818910-2002-00164
    Event Type
    Injury
    Date Received
    March 27, 2002
    Date of Event
    September 24, 1997
    Report Date
    March 27, 2002
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KWS
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE PT WAS REVISED FOR HYLAMER WEAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GLOBAL SHD HYL FIN GLENOID 52 TOTAL SHOULDER PROSTESIS KWS DEPUY ORTHOPAEDICS, INC. NA 740300023

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention