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