FDA Adverse Event Injury Summary report: N

LINER 10 HOODED NEU, MP6, HXE-PLUS, 32MM

MDR report key: 11819683 · Received May 13, 2021

Report

Report Number
1644408-2018-00539
Event Type
Injury
Date Received
May 13, 2021
Report Date
December 7, 2020
Product Code
OQH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CORRECTED DATA: ORIGINAL INITIAL REPORT WAS SUBMITTED AS FOLLOW UP IN ERROR.

Description of Event or Problem · 1

REVISION SURGERY - DUE TO THE PATIENT HAVING A POST OPERATIVE WOUND INFECTION. THE SURGEON DID AN IRRIGATION AND DRAINAGE (I&D) OF WOUND AND PROPHYLACTIC ALL SWAPPED HEAD AND LINER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
715786 LINER 10 HOODED NEU, MP6, HXE-PLUS, 32MM OQH 811N1949

Patients

Seq Age Sex Outcome Treatment
1 Other| R