BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 612921 · Received April 26, 2005

    Report

    Report Number
    612921
    Event Type
    Other
    Date Received
    April 26, 2005
    Date of Event
    April 12, 2005
    Report Date
    April 25, 2005
    Manufacturer
    UNK
    Product Code
    LZJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RIGHT FIRST METATARSAL SILASTIC JOINT IMPLANT DISINTEGRATING. IMPLANT REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK METATARSAL IMPLANT LZJ UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Other