BEUDAMED
    FDA Adverse Event Other Summary report: N

    ASCENSION PIP

    MDR report key: 494346 · Received November 4, 2003

    Report

    Report Number
    1651501-2003-00033
    Event Type
    Other
    Date Received
    November 4, 2003
    Date of Event
    October 1, 2003
    Report Date
    November 3, 2003
    Manufacturer
    ASCENSION ORTHOPEDICS, INC.
    Product Code
    KWF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE DEVICE THAT WAS IMPLANTED IN THE LEFT LONG FINGER PIP JOINT WAS REMOVED AND REPLACED WITH ANOTHER DISTAL COMPONENT OF THE SAME SIZE AND A PROXIMAL COMPONENT OF THE NEXT LARGER SIZE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASCENSION PIP TOTAL FINGER JOINT IMPLANT KWF ASCENSION ORTHOPEDICS, INC. PIP-200 02-979

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other