FDA Adverse Event Injury Summary report: N

PLUS SL

MDR report key: 1210199 · Received October 23, 2008

Report

Report Number
9612771-2008-00077
Event Type
Injury
Date Received
October 23, 2008
Date of Event
January 2, 2008
Report Date
October 23, 2008
Manufacturer
SMITH & NEPHEW ORTHOPEDICS AG
Product Code
KWY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO A LACK OF BIOLOGICAL FIXATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PLUS SL STEM KWY SMITH & NEPHEW ORTHOPEDICS AG NA 0511.13.6428

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization| R