BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STEM

    MDR report key: 1843273 · Received September 24, 2010

    Report

    Report Number
    1020279-2010-00273
    Event Type
    Injury
    Date Received
    September 24, 2010
    Report Date
    September 23, 2010
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS, INC.
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THIS PRIMARY REVISION WAS REPORTED DUE TO DISLOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STEM JDH SMITH & NEPHEW ORTHOPAEDICS, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R