BEUDAMED
    FDA Adverse Event Other Summary report: N

    *

    MDR report key: 278177 · Received May 15, 2000

    Report

    Report Number
    278177
    Event Type
    Other
    Date Received
    May 15, 2000
    Date of Event
    March 16, 2000
    Report Date
    May 12, 2000
    Manufacturer
    SMITH + NEPHEW RICHARD INC.
    Product Code
    MZZ
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FX HIP FROM MVA IN 1999, HIP PINNED. RETURNED 3/16/00 FOR NON-UNION RIGHT FEMUR WITH HARDWARE FAILURE. BROKEN PROXIMAL LOCKING SCREW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * FEMORAL NAIL MZZ SMITH + NEPHEW RICHARD INC. 122270 41206833 OR 40705072

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Other