BEUDAMED
    FDA Adverse Event Other Summary report: N

    2.0/1.0 6 HOLE MEDIUM COMPRESSION PLATE

    MDR report key: 509577 · Received January 24, 2004

    Report

    Report Number
    1032347-2004-00001
    Event Type
    Other
    Date Received
    January 24, 2004
    Date of Event
    December 16, 2003
    Report Date
    January 6, 2004
    Manufacturer
    WALTER LORENZ SURGICAL, INC.
    Product Code
    JEY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    INVALID DATA

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 2.0/1.0 6 HOLE MEDIUM COMPRESSION PLATE COMPRESSION PLATE JEY WALTER LORENZ SURGICAL, INC. 01-9286 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization| R