BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JAZZ

    MDR report key: 9852259 · Received March 19, 2020

    Report

    Report Number
    3007675554-2020-00001
    Event Type
    Injury
    Date Received
    March 19, 2020
    Date of Event
    February 11, 2020
    Report Date
    March 12, 2020
    Manufacturer
    IMPLANET
    Product Code
    OWI
    PMA / PMN Number
    K170730
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    FOR UNKNOWN REASON A PATIENT WAS REVISED ON (B)(6) 2020. DURING THIS NEW SURGERY, THE PHYSICIAN TOOK OUT A JAZZ BAND BECAUSE IT WAS BROKEN. INITIAL SURGERY WAS ON (B)(6) 2018.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    319892 JAZZ JAZZ BAND OWI IMPLANET 150156

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention