FDA Adverse Event
Injury
Summary report: N
BICON-PLUS
MDR report key: 2931602
·
Received January 28, 2013
Report
- Report Number
- 9613369-2013-00006
- Event Type
- Injury
- Date Received
- January 28, 2013
- Date of Event
- January 16, 2013
- Report Date
- January 16, 2013
- Manufacturer
- SMITH&NEPHEW - SWITZERLAND
- Product Code
- LXH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT SURGERY TIME WAS DELAYED 1H AND 20 MINUTES DUE TO COMPLICATIONS WHILE USING THE DEVICE. THE SURGERY WAS COMPLETED WITHOUT ANY FURTHER INCIDENTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 36643 | BICON-PLUS | BICON-PLUS TURNING INSTR.W.COLLET LEVER | LXH | SMITH&NEPHEW - SWITZERLAND | D4 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| O | (B)(4) -BICON-PLUS DRAW ROD - D9| (B)(4) - BICON-PLUS TI SHELL - D1211768| (B)(4) -BICON-PLUS COLLET 3 -F10 |