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..
Report Number | 1043534-2001-00040 |
MDR Report Key | 317185 |
Report Source | 06 |
Date Received | 2001-02-22 |
Date of Event | 2000-12-28 |
Date Reported to Mfgr | 2001-01-22 |
Date Mfgr Received | 2001-01-22 |
Device Manufacturer Date | 1996-12-01 |
Date Added to Maude | 2001-02-27 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
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 | 0 |
Manufacturer Contact | DEBBY DAURER |
Manufacturer Street | 5677 AIRLINE RD |
Manufacturer City | ARLINGTON TX 38002 |
Manufacturer Country | US |
Manufacturer Postal | 38002 |
Manufacturer Phone | 9018674601 |
Manufacturer G1 | * |
Manufacturer Street | * |
Manufacturer City | * |
Manufacturer Country | * |
Single Use | 3 |
Previous Use Code | 3 |
Removal Correction Number | NA |
Event Type | 3 |
Type of Report | 3 |
Brand Name | SWANSON WRIST JOINT IMPLANT |
Generic Name | SMALL JOINT COMPONENT |
Product Code | KIG |
Date Received | 2001-02-22 |
Model Number | NA |
Catalog Number | G488-0205 |
Lot Number | 126A054325 |
ID Number | NA |
Device Availability | N |
Device Eval'ed by Mfgr | N |
Implant Flag | Y |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 306717 |
Manufacturer | WRIGHT MEDICAL TECHNOLOGY, INC. |
Manufacturer Address | 5677 AIRLINE RD ARLINGTON TN 38002 US |
Baseline Brand Name | SWANSON WRIST JOINT IMPLANT |
Baseline Generic Name | SMALL JOINT COMPONENT |
Baseline Model No | NA |
Baseline Catalog No | G488-0205 |
Baseline ID | NA |
Baseline Device Family | S J 888.3780 |
Baseline Shelf Life [Months] | NA |
Baseline PMA Flag | N |
Baseline 510K PMN | Y |
Premarket Notification | K850255 |
Baseline Preamendment | N |
Baseline Transitional | N |
510k Exempt | N |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2001-02-22 |