BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLUS

    MDR report key: 1893188 · Received November 8, 2010

    Report

    Report Number
    9613369-2010-00063
    Event Type
    Injury
    Date Received
    November 8, 2010
    Date of Event
    July 28, 2010
    Report Date
    November 8, 2010
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    HSD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION SURGERY WAS REQUIRED DUE TO A FRACTURE OF THE GLENOID.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLUS PROMOS REVERSE HSD SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Hospitalization| R