FDA Adverse Event
Injury
Summary report: N
1020279-2012-00073
MDR report key: 2441038
·
Received February 7, 2012
Report
- Report Number
- 1020279-2012-00073
- Event Type
- Injury
- Date Received
- February 7, 2012
- Date of Event
- January 20, 2012
- Report Date
- January 20, 2012
- Manufacturer
- SMITH & NEPHEW, INC
- Product Code
- JDH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO DISLOCATION. THE PATIENT DID NOT COMPLY WITH DOCTOR'S ORDERS BECAUSE OF A MENTAL DISEASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | JDH | SMITH & NEPHEW, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| R |