BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TAYLOR SPATIAL HALF RING 155 MM

    MDR report key: 2011810 · Received March 9, 2011

    Report

    Report Number
    1020279-2011-00069
    Event Type
    Injury
    Date Received
    March 9, 2011
    Date of Event
    December 7, 2010
    Report Date
    March 9, 2011
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS, INC.
    Product Code
    KTT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY WAS REPORTED TO REPLACE A FRACTURED TSF 1/2 RING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TAYLOR SPATIAL HALF RING 155 MM HALF RING 155 MM KTT SMITH & NEPHEW ORTHOPAEDICS, INC. 71070124 10CSM0129

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Hospitalization| R