BEUDAMED
    FDA Adverse Event Other Summary report: N

    CORKSCREW FT SUTURE

    MDR report key: 529133 · Received June 10, 2004

    Report

    Report Number
    1220246-2004-00015
    Event Type
    Other
    Date Received
    June 10, 2004
    Date of Event
    December 22, 2003
    Report Date
    March 29, 2004
    Manufacturer
    ARTHREX, INC.
    Product Code
    GAO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IMPLANT PULLED OUT ONE WEEK POST-OP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CORKSCREW FT SUTURE SUTURE GAO ARTHREX, INC. AR-1928SF UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other