BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SMART TOE

    MDR report key: 1680344 · Received May 6, 2010

    Report

    Report Number
    MW5015864
    Event Type
    Injury
    Date Received
    May 6, 2010
    Date of Event
    December 18, 2009
    Report Date
    April 30, 2010
    Manufacturer
    MEMOMETAL INC
    Product Code
    KWH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    UT, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    FRACTURE OF MMI "START TOE" IMPLANT. BROKE ON PROXIMAL END. MAY HAVE BEEN FROM TRAUMA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SMART TOE STRAIGHT KWH MEMOMETAL INC

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Disability