BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PRISM II VAC MXG CARTRIDGE SYS

    MDR report key: 497581 · Received November 25, 2003

    Report

    Report Number
    1818910-2003-00767
    Event Type
    Injury
    Date Received
    November 25, 2003
    Report Date
    October 27, 2003
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    JDZ
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THERE WAS A HOLE IN THE PACKAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRISM II VAC MXG CARTRIDGE SYS CEMENT JDZ DEPUY ORTHOPAEDICS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN