FDA Adverse Event Other Summary report: N

*

MDR report key: 665721 · Received December 22, 2005

Report

Report Number
1030489-2005-00377
Event Type
Other
Date Received
December 22, 2005
Report Date
November 22, 2005
Manufacturer
WARSAW ORTHOPEDIC INC.
Product Code
FSM
Report Source
Manufacturer report

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * IMPLANT/INSTRUMENT CASE FSM WARSAW ORTHOPEDIC INC. NA UNK

Patients

Seq Age Sex Outcome Treatment
1