BEUDAMED
    FDA Adverse Event Injury Summary report: N

    4.0MM TI CORTEX EXPANSIONHEAD SCREW

    MDR report key: 414197 · Received September 4, 2002

    Report

    Report Number
    2520274-2002-00017
    Event Type
    Injury
    Date Received
    September 4, 2002
    Date of Event
    July 31, 2002
    Report Date
    August 8, 2002
    Manufacturer
    SYNTHES (USA)
    Product Code
    KWQ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A LOCKING SCREW BACKED OUT OF AN IMPLANTED CSLP AND WAS REMOVED APPROXIMATELY 07/2002.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 4.0MM TI CORTEX EXPANSIONHEAD SCREW EXPANSIONHEAD SCREWS KWQ SYNTHES (USA) NA NI

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention CSLP, SCREWS.