BEUDAMED
    FDA Adverse Event Other Summary report: N

    MACROPORE 5 X 2.0MM SCREWS, 4 PACK

    MDR report key: 488127 · Received October 3, 2003

    Report

    Report Number
    2021898-2003-00146
    Event Type
    Other
    Date Received
    October 3, 2003
    Date of Event
    September 4, 2003
    Report Date
    September 4, 2003
    Manufacturer
    MEDTRONIC NEUROSURGERY
    Product Code
    JXG
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT TWELVE SCREWS (THREE PACKS) BROKE IN THE O.R.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MACROPORE 5 X 2.0MM SCREWS, 4 PACK CENTRAL NERVOUS SYSTEM FLUID SHUNTS AND COMPONENTS JXG MEDTRONIC NEUROSURGERY * 53150

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN