BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ASIAN IMHS

    MDR report key: 1081503 · Received July 23, 2008

    Report

    Report Number
    1020279-2008-00223
    Event Type
    Injury
    Date Received
    July 23, 2008
    Date of Event
    July 1, 2008
    Report Date
    July 17, 2008
    Manufacturer
    SMITH & NEPHEW, INC., ORTHOPAEDIC DIV.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PT UNDERWENT REVISION SURGERY DUE TO THE SET SCREW COMING OUT OF THE NAIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ASIAN IMHS INTERNAL FIXATION - NAIL JDS SMITH & NEPHEW, INC., ORTHOPAEDIC DIV. UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Hospitalization| R