BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RIGHT TOTAL WRIST CARPAL COMPONENT

    MDR report key: 752068 · Received July 25, 2006

    Report

    Report Number
    MW1039847
    Event Type
    Injury
    Date Received
    July 25, 2006
    Date of Event
    June 14, 2006
    Report Date
    July 25, 2006
    Manufacturer
    KINETIKOS MEDICAL INCORPORATED
    Product Code
    KWN
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    STEM BROKE ON THE METAL PLATE OF THE IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RIGHT TOTAL WRIST CARPAL COMPONENT * KWN KINETIKOS MEDICAL INCORPORATED * *

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other| S