FDA Adverse Event Other Summary report: N

SILHOUETTE SPINAL FIXATION SYSTEM

MDR report key: 889554 · Received August 19, 2004

Report

Report Number
2184052-2004-00012
Event Type
Other
Date Received
August 19, 2004
Date of Event
July 16, 2004
Report Date
August 19, 2004
Manufacturer
ZIMMER SPINE, INC.
Product Code
MCV
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SILHOUETTE SPINAL FIXATION SYSTEM SILHOUETTE POLYAXIAL PEDICLE SCREW MCV ZIMMER SPINE, INC. 7220-6555-00 UNK

Patients

Seq Age Sex Outcome Treatment
1 YR Other