FDA Adverse Event Death Summary report: N

MIIG MINIMALLY INVASIVE INJECTABLE GRAFT

MDR report key: 679187 · Received February 22, 2006

Report

Report Number
1043534-2006-00015
Event Type
Death
Date Received
February 22, 2006
Date of Event
January 24, 2006
Report Date
January 25, 2006
Manufacturer
WRIGHT MEDICAL TECHNOLOGY, INC.
Product Code
MQV
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ORIG. SURG: 2006. PATIENT WITH L2 COMPRESSION FRACTURE. ALLEGEDLY PATIENT DIED TO ALLERGIC SHOCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MIIG MINIMALLY INVASIVE INJECTABLE GRAFT BIOLOGIC COMPONENT MQV WRIGHT MEDICAL TECHNOLOGY, INC. NA 085273374

Patients

Seq Age Sex Outcome Treatment
1 70 YR Death