FDA Adverse Event Injury Summary report: N

LEGION

MDR report key: 2022737 · Received March 17, 2011

Report

Report Number
1020279-2011-00085
Event Type
Injury
Date Received
March 17, 2011
Date of Event
February 17, 2011
Report Date
March 17, 2011
Manufacturer
SMITH & NEPHEW, INC
Product Code
LXH
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE FRACTURED DURING USE EXTENDING SURGERY TIME 30- 60 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LEGION LGN OFF COUPLER TRL ANGLED LXH SMITH & NEPHEW, INC

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization