BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SURESHOT TARGETING I

    MDR report key: 2525956 · Received April 10, 2012

    Report

    Report Number
    1020279-2012-00219
    Event Type
    Injury
    Date Received
    April 10, 2012
    Date of Event
    March 24, 2012
    Report Date
    March 24, 2012
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE PRODUCT CODE LISTED IS NOT A VALID CODE FOR THE REPORTED DEVICE. THE CORRECT CODE IS OLO; THIS CODE IS NOT LISTED IN OUR MDR REPORTING DATABASE. WE HAVE MADE A REQUEST TO OUR VENDOR FOR THIS CODE TO BE UPLOADED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT SURGERY TIME WAS EXTENDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SURESHOT TARGETING I SURESHOT TARGETER JDS SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R