BEUDAMED
    FDA Adverse Event Other Summary report: N

    ASCENSION MCP

    MDR report key: 481704 · Received August 27, 2003

    Report

    Report Number
    1651501-2003-00028
    Event Type
    Other
    Date Received
    August 27, 2003
    Date of Event
    July 23, 2003
    Report Date
    August 27, 2003
    Manufacturer
    ASCENSION ORTHOPEDICS, INC.
    Product Code
    KWF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AT 2 1/2 MONTHS POST-OP, THE IMPLANT WAS DISLOCATED AND WAS REMOVED AND REPLACED WITH A SILICONE SPACER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENSION MCP TOTAL FINGER JOINT IMPLANT KWF ASCENSION ORTHOPEDICS, INC. MCP-100 A34701F

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other