BEUDAMED
    FDA Adverse Event Other Summary report: N

    MCS METATARSAL COMPRESSION 45

    MDR report key: 492123 · Received October 24, 2003

    Report

    Report Number
    8010177-2003-00022
    Event Type
    Other
    Date Received
    October 24, 2003
    Date of Event
    October 1, 2003
    Report Date
    October 24, 2003
    Manufacturer
    STRYKER INSTRUMENTS
    Product Code
    JEY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    PLATE HAD TO BE REMOVED POST-OP DUE TO PATIENT REACTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MCS METATARSAL COMPRESSION 45 BONE PLATE JEY STRYKER INSTRUMENTS 6514-3-145 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Required Intervention