FDA Adverse Event
Other
Summary report: N
POLARIS PLUS HUMERAL ROD
MDR report key: 977013
·
Received October 25, 2004
Report
- Report Number
- 977013
- Event Type
- Other
- Date Received
- October 25, 2004
- Date of Event
- August 22, 2004
- Report Date
- September 1, 2004
- Manufacturer
- ACUMED/POLARUS/SEA PEARL, INC
- Product Code
- HTW
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NJ, US
- Reporter Occupation
- RISK MANAGER
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | POLARIS PLUS HUMERAL ROD | DRILL BIT | HTW | ACUMED/POLARUS/SEA PEARL, INC | * | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |