BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SMITH & NEPHEW

    MDR report key: 1914523 · Received December 3, 2010

    Report

    Report Number
    1020279-2010-00344
    Event Type
    Injury
    Date Received
    December 3, 2010
    Date of Event
    October 1, 2010
    Report Date
    December 3, 2010
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS, INC.
    Product Code
    HWA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE HOSPITAL THAT A METAL SHARD FROM THE SCREW THREADS AT THE TIP OF THE IMPACTOR CAME LOOSE AND CUT THE SCRUB TECHNICIAN. MDR FILED BY THE HOSPITAL IS MDR NUMBER 2600320000-2010-8020.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 Other