FDA Adverse Event
Injury
Summary report: N
2243265-1997-00002
MDR report key: 64841
·
Received January 21, 1997
Report
- Report Number
- 2243265-1997-00002
- Event Type
- Injury
- Date Received
- January 21, 1997
- Date of Event
- December 16, 1996
- Product Code
- KWY
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
Narratives
Description of Event or Problem · 1
ORIGINAL TOTAL HIP ARTHROPLASTY REPORTED AS 12/5/96, IN "DISCRIPTION OF EVENT" BLOCK B5. FOLLOW-UP; WITH UF CONFIRMED ORIGIANL TOTAL HIP ARTHROPLASTY WAS ACTUALLY PERFORMED 12/5/95.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | Implant | KWY |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |