FDA Adverse Event
Injury
Summary report: N
PROSTHESIS, ELBOW, HEMI-, RADIAL
MDR report key: 8452714
·
Received March 26, 2019
Report
- Report Number
- 3025141-2019-00173
- Event Type
- Injury
- Date Received
- March 26, 2019
- Report Date
- March 1, 2019
- Manufacturer
- ACUMED LLC
- Product Code
- KWI
- PMA / PMN Number
- K131845
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
ADDITIONAL MDRS ASSOCIATED WITH THIS ARTICLE: 3025141-2019-00174: CASE 2; 3025141-2019-00175: CASE 3; 3025141-2019-00176: CASE 4; 3025141-2019-00177: CASE 5; 3025141-2019-00178: CASE 6.
Description of Event or Problem · 1
ARTICLE: FAILURE OF METAL RADIAL HEAD REPLACEMENT. VAN RIET, R. P., SANCHEZ-SOTELO, J., MORREY, B. F., J BONE JOINT SURG (BR) 2010; 92-B:661-7. CASE 1: REVISION SURGERY PERFORMED FOR REASONS THAT CANNOT BE DETERMINED FROM THE ARTICLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 243927 | PROSTHESIS, ELBOW, HEMI-, RADIAL | KWI | ACUMED LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |