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 |