BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PROFIX

    MDR report key: 1241014 · Received November 21, 2008

    Report

    Report Number
    1020279-2008-00311
    Event Type
    Injury
    Date Received
    November 21, 2008
    Date of Event
    January 1, 2003
    Report Date
    November 21, 2008
    Manufacturer
    SMITH & NEPHEW, INC., ORTHOPAEDIC DIV.
    Product Code
    HSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO INFECTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROFIX UNK HSA SMITH & NEPHEW, INC., ORTHOPAEDIC DIV. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R