BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNK

    MDR report key: 518858 · Received March 18, 2004

    Report

    Report Number
    MW1031589
    Event Type
    Malfunction
    Date Received
    March 18, 2004
    Date of Event
    December 12, 2003
    Report Date
    March 18, 2004
    Manufacturer
    UNK
    Product Code
    KWD
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    REMOVE SILASTIC TOE IMPLANT METATARSAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK UNK KWD UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other