FDA Adverse Event Injury Summary report: N

TRIGEN

MDR report key: 2042655 · Received April 6, 2011

Report

Report Number
1020279-2011-00115
Event Type
Injury
Date Received
April 6, 2011
Date of Event
March 29, 2011
Report Date
April 6, 2011
Manufacturer
SMITH-NEPHEW INC
Product Code
JDS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A NAIL REVISION SURGERY WAS REQUIRED DUE TO A SCREW BACKING OUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRIGEN NAIL JDS SMITH-NEPHEW INC

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention