MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1997-10-17 for * UNK manufactured by Unk.
[20438825]
Pt had pain and deformity of left wrist. Surgery done to replace silastic wrist implant. Implant found to be fractured completely at distal extension.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 129328 |
MDR Report Key | 129328 |
Date Received | 1997-10-17 |
Date of Report | 1997-10-15 |
Date of Event | 1997-10-07 |
Date Facility Aware | 1997-10-07 |
Report Date | 1997-10-15 |
Date Reported to FDA | 1997-10-15 |
Date Added to Maude | 1997-11-04 |
Event Key | 0 |
Report Source Code | User Facility report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | * |
Generic Name | SILASTIC WRIST IMPLANT |
Product Code | KIG |
Date Received | 1997-10-17 |
Model Number | UNK |
Catalog Number | * |
Lot Number | * |
ID Number | * |
Device Availability | N |
Device Age | UNKNOWN |
Implant Flag | Y |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 126504 |
Manufacturer | UNK |
Manufacturer Address | UNK UNK * |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Deathisabilit | 1997-10-17 |