FDA Adverse Event Injury Summary report: N

HINDFOOT FUSION NAIL

MDR report key: 2920342 · Received January 17, 2013

Report

Report Number
1020279-2013-00030
Event Type
Injury
Date Received
January 17, 2013
Report Date
January 15, 2013
Manufacturer
SMITH & NEPHEW, INC.
Product Code
JDS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

MDR 1020279-2013-00030 REPORT FILED IN ERROR, NO REVISION SURGERY WAS PERFORMED.

Description of Event or Problem · 1

MDR 1020279-2013-00030 REPORT FILED IN ERROR, NO REVISION SURGERY WAS PERFORMED.

Description of Event or Problem · 1

IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
26467 HINDFOOT FUSION NAIL HFN 11.5MMX20CM RIGHT JDS SMITH & NEPHEW, INC.

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R (B)(4) INT HEX CAP SCR 5.0MM X 35MM| (B)(4) INT HEX CAP SCR 5.0MM X 95MM| (B)(4) INT HEX CAP SCR 5.0MM X 45MM| (B)(4) INT HEX CAP SCR 5.0MM X 85MM