BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GLOBAL ADVANTAGE HUM HD 44X18

    MDR report key: 405456 · Received July 18, 2002

    Report

    Report Number
    1818910-2002-00391
    Event Type
    Injury
    Date Received
    July 18, 2002
    Date of Event
    June 18, 2002
    Report Date
    July 18, 2002
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KWT
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    WOULD NOT SEAT IN STEM #1134-08-000. SURGERY EXTENDED 30 MINS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GLOBAL ADVANTAGE HUM HD 44X18 TOTAL SHOULDER PROSTHESIS KWT DEPUY ORTHOPAEDICS, INC. NA VF1CN1028

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention