BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LAG/COMP SCREW

    MDR report key: 1871785 · Received October 15, 2010

    Report

    Report Number
    1020279-2010-00289
    Event Type
    Injury
    Date Received
    October 15, 2010
    Report Date
    October 15, 2010
    Manufacturer
    SMITH-NEPHEW INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A LAG SCREW HAS MIGRATED LATERALLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LAG/COMP SCREW JDS SMITH-NEPHEW INC. 09JM15704

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Other 76515310 (B)(4)| 71675202 (B)(4)