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 |