MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2007-08-31 for AS INVERSE GLENOID 01.04223.200 manufactured by Zimmer Gmbh.
[17255930]
Anatomic inverse revised or baseplate malposition and screw impingement.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9613350-2007-00042 |
| MDR Report Key | 905782 |
| Report Source | 06 |
| Date Received | 2007-08-31 |
| Date of Report | 2007-08-21 |
| Date of Event | 2007-07-23 |
| Date Facility Aware | 2007-08-17 |
| Report Date | 2007-08-21 |
| Date Added to Maude | 2007-09-07 |
| 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 | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | CHRISTOF MULLER |
| Manufacturer City | WINTERTHUR 8404 |
| Manufacturer Country | SZ |
| Manufacturer Postal | 8404 |
| Manufacturer Phone | 22627210 |
| Single Use | 3 |
| Remedial Action | OT |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | AS INVERSE GLENOID |
| Generic Name | NONE |
| Product Code | KYM |
| Date Received | 2007-08-31 |
| Catalog Number | 01.04223.200 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 882269 |
| Manufacturer | ZIMMER GMBH |
| Manufacturer Address | WINTERTHUR SZ |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2007-08-31 |