MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other report with the FDA on 2019-11-19 for UNK - RADIAL HEAD PROSTHESIS: RADIAL STEM manufactured by Wrights Lane Synthes Usa Products Llc.
| Report Number | 2939274-2019-62291 |
| MDR Report Key | 9342798 |
| Report Source | OTHER |
| Date Received | 2019-11-19 |
| Date of Report | 2019-11-04 |
| Date Mfgr Received | 2019-11-04 |
| Date Added to Maude | 2019-11-19 |
| 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 | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | KARA DITTY-BOVARD |
| Manufacturer Street | 1302 WRIGHTS LANE EAST |
| Manufacturer City | WEST CHESTER PA 19380 |
| Manufacturer Country | US |
| Manufacturer Postal | 19380 |
| Manufacturer Phone | 6103142063 |
| Single Use | 3 |
| Remedial Action | RC |
| Previous Use Code | 3 |
| Removal Correction Number | Z-1124-2017 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNK - RADIAL HEAD PROSTHESIS: RADIAL STEM |
| Generic Name | PROSTHESIS, ELBOW, HEMI-RADIAL, POLYMER |
| Product Code | KWI |
| Date Received | 2019-11-19 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | WRIGHTS LANE SYNTHES USA PRODUCTS LLC |
| Manufacturer Address | 1302 WRIGHTS LANE EAST WEST CHESTER PA 19380 US 19380 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-11-19 |