BEUDAMED
    FDA Adverse Event Other Summary report: N

    MUSCULOSKELETAL

    MDR report key: 800947 · Received December 15, 2006

    Report

    Report Number
    800947
    Event Type
    Other
    Date Received
    December 15, 2006
    Date of Event
    August 10, 2006
    Report Date
    December 12, 2006
    Manufacturer
    MFT
    Product Code
    HWC
    Report Source
    User Facility report
    Reporter Location
    HI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FAILED FIXATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MUSCULOSKELETAL SCREWS HWC MFT ITEM CODE 038050 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other