BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SELECT SHOULDER COCR HUMERAL HEAD

    MDR report key: 46714 · Received November 6, 1996

    Report

    Report Number
    2935620-1996-00007
    Event Type
    Injury
    Date Received
    November 6, 1996
    Date of Event
    March 6, 1996
    Report Date
    November 5, 1996
    Manufacturer
    INTERMEDICS ORTHOPEDICS, INC.
    Product Code
    HSD
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    NOTIFICATION OF REVISION SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SELECT SHOULDER COCR HUMERAL HEAD Implant SHOULDER IMPLANT PROSTHESIS HSD INTERMEDICS ORTHOPEDICS, INC. NA 1154215

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Required Intervention