BEUDAMED
    FDA Adverse Event Injury Summary report: N

    R3

    MDR report key: 1832766 · Received September 13, 2010

    Report

    Report Number
    1020279-2010-00260
    Event Type
    Injury
    Date Received
    September 13, 2010
    Date of Event
    July 27, 2010
    Report Date
    August 13, 2010
    Manufacturer
    SMITH & NEPHEW, INC. BROOKS MANUFACTURING SITE
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT SURGERY WAS DELAYED DUE TO NOT BEING ABLE TO IMPLANT THE DEVICE. ANOTHER PART WAS USES SUCCESSFULLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 R3 LINER JDH SMITH & NEPHEW, INC. BROOKS MANUFACTURING SITE 07FM23386

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization