BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TWINFIX TI 2.8 SUTURE ANCHOR

    MDR report key: 2142345 · Received January 4, 2007

    Report

    Report Number
    2142345
    Event Type
    Injury
    Date Received
    January 4, 2007
    Date of Event
    November 15, 2005
    Report Date
    November 14, 2006
    Manufacturer
    SMITH & NEPHEW
    Product Code
    MBI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    (B)(6) YEAR OLD MALE BASEBALL PLAYER WITH ALPSA REPAIR OF LEFT SHOULDER, IN (B)(6) 2005. IN (B)(6) 2006, REQUIRED ADD'L SURGERY DUE TO DECREASED RANGE OF MOTION AND PAIN. DR. (B)(6) MET WITH MANUFACTURER IN (B)(6) 2006.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TWINFIX TI 2.8 SUTURE ANCHOR * MBI SMITH & NEPHEW * 50124685
    2 TWINFIX TI 2.8 SUTURE ANCHOR * MBI SMITH & NEPHEW * 50115594

    Patients

    Seq Age Sex Outcome Treatment
    1 20 YR Required Intervention