SWANSON WRIST JOINT IMPLANT G488-0205

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2001-02-22 for SWANSON WRIST JOINT IMPLANT G488-0205 manufactured by Wright Medical Technology, Inc..

MAUDE Entry Details

Report Number1043534-2001-00040
MDR Report Key317185
Report Source06
Date Received2001-02-22
Date of Event2000-12-28
Date Reported to Mfgr2001-01-22
Date Mfgr Received2001-01-22
Device Manufacturer Date1996-12-01
Date Added to Maude2001-02-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Manufacturer ContactDEBBY DAURER
Manufacturer Street5677 AIRLINE RD
Manufacturer CityARLINGTON TX 38002
Manufacturer CountryUS
Manufacturer Postal38002
Manufacturer Phone9018674601
Manufacturer G1*
Manufacturer Street*
Manufacturer City*
Manufacturer Country*
Single Use3
Previous Use Code3
Removal Correction NumberNA
Event Type3
Type of Report3

Device Details

Brand NameSWANSON WRIST JOINT IMPLANT
Generic NameSMALL JOINT COMPONENT
Product CodeKIG
Date Received2001-02-22
Model NumberNA
Catalog NumberG488-0205
Lot Number126A054325
ID NumberNA
Device AvailabilityN
Device Eval'ed by MfgrN
Implant FlagY
Date Removed*
Device Sequence No1
Device Event Key306717
ManufacturerWRIGHT MEDICAL TECHNOLOGY, INC.
Manufacturer Address5677 AIRLINE RD ARLINGTON TN 38002 US
Baseline Brand NameSWANSON WRIST JOINT IMPLANT
Baseline Generic NameSMALL JOINT COMPONENT
Baseline Model NoNA
Baseline Catalog NoG488-0205
Baseline IDNA
Baseline Device FamilyS J 888.3780
Baseline Shelf Life [Months]NA
Baseline PMA FlagN
Baseline 510K PMNY
Premarket NotificationK850255
Baseline PreamendmentN
Baseline TransitionalN
510k ExemptN


Patients

Patient NumberTreatmentOutcomeDate
10 2001-02-22

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