BEUDAMED
    FDA Adverse Event Injury Summary report: N

    IMHS CP NAIL

    MDR report key: 2884017 · Received December 21, 2012

    Report

    Report Number
    8010764-2012-00055
    Event Type
    Injury
    Date Received
    December 21, 2012
    Date of Event
    September 11, 2012
    Report Date
    September 11, 2012
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    IT WAS REPORTED A REVISION SURGERY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IMHS CP NAIL 130 D 10 X 19.5L JDS SMITH & NEPHEW, INC. 12ET19106

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R (B)(4) LOT 12DT17215| CHS LAG SC 80MM 3.15