FDA Adverse Event Injury Summary report: N

JET-X

MDR report key: 1051719 · Received May 23, 2008

Report

Report Number
1020279-2008-00157
Event Type
Injury
Date Received
May 23, 2008
Report Date
May 12, 2008
Manufacturer
SMITH & NEPHEW, INC., OTHOPAEDIC DIV.
Product Code
HTY
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NA

Description of Event or Problem · 1

THE PT UNDERWENT REVISION SURGERY DUE TO THE CLAMP DISASSEMBLING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 JET-X EXTERNAL FIXATION HTY SMITH & NEPHEW, INC., OTHOPAEDIC DIV. 07GM18395

Patients

Seq Age Sex Outcome Treatment
1 UNK Other