FDA Adverse Event Injury Summary report: N

SPINE SYSTEM IMPLANTS

MDR report key: 80868 · Received March 25, 1997

Report

Report Number
2916714-1997-00005
Event Type
Injury
Date Received
March 25, 1997
Report Date
March 25, 1997
Manufacturer
AESCULAP/JBS SA
Product Code
KWP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PHYSICIAN DID NOT RESPOND TO REQUESTS FOR ADD'L INFO. UNABLE TO CONFIRM DETAILS OF THIS EVENT. INVESTIGATION IS NOW CONSIDERED CLOSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPINE SYSTEM IMPLANTS Implant PEDICLE SCREW KWP AESCULAP/JBS SA NA NI

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other