FDA Adverse Event
Injury
Summary report: N
1020279-2012-00182
MDR report key: 2499036
·
Received March 21, 2012
Report
- Report Number
- 1020279-2012-00182
- Event Type
- Injury
- Date Received
- March 21, 2012
- Date of Event
- January 1, 1901
- Report Date
- March 2, 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 WAS PERFORMED DUE TO PAIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | JDH | SMITH & NEPHEW, INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization |