BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FLEXIBLE HINGE TOE IMPLANT W/GROMMETS

    MDR report key: 554100 · Received November 26, 2003

    Report

    Report Number
    554100
    Event Type
    Malfunction
    Date Received
    November 26, 2003
    Date of Event
    September 15, 2003
    Report Date
    October 17, 2003
    Manufacturer
    WRIGHT MEDICAL TECHNOLOGY, INC.
    Product Code
    LZJ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLEXIBLE HINGE TOE IMPLANT W/GROMMETS TOE IMPLANT LZJ WRIGHT MEDICAL TECHNOLOGY, INC. * 02216190 SIZE 4 04220430 SIZE

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR