BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VERTEBRON PSS PEDICLE SYSTEM CAP SET SCREW DRIVER

    MDR report key: 552147 · Received April 16, 2004

    Report

    Report Number
    3004435519-2004-00001
    Event Type
    Malfunction
    Date Received
    April 16, 2004
    Date of Event
    March 19, 2004
    Report Date
    April 7, 2004
    Manufacturer
    VERTEBRON, INC.
    Product Code
    MNI
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A SET CAP SCREW DRIVER MALFUNCTIONED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VERTEBRON PSS PEDICLE SYSTEM CAP SET SCREW DRIVER SCREW DRIVER MNI VERTEBRON, INC. 900-1013 ST 022704

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN