BEUDAMED
    FDA Adverse Event Other Summary report: N

    MOUNTAINEER LONG SHANK SCREW

    MDR report key: 893440 · Received August 9, 2007

    Report

    Report Number
    1526439-2007-00300
    Event Type
    Other
    Date Received
    August 9, 2007
    Manufacturer
    DEPUY SPINE, INC.
    Product Code
    KWP
    PMA / PMN Number
    K042508
    Report Source
    Manufacturer report

    Narratives

    Additional Manufacturer Narrative · 1

    SEE MDR 1526439-2007-00299

    Description of Event or Problem · 1

    DEVICE 2. SEE ALSO MDR 1526439-2007-00299

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOUNTAINEER LONG SHANK SCREW FIXATION DEVICE KWP DEPUY SPINE, INC. NA 5150W

    Patients

    Seq Age Sex Outcome Treatment
    1 YR