BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLATE

    MDR report key: 2943983 · Received February 5, 2013

    Report

    Report Number
    1020279-2013-00071
    Event Type
    Injury
    Date Received
    February 5, 2013
    Date of Event
    January 22, 2013
    Report Date
    February 4, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    HRS
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO FRACTURED HARDWARE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    48626 PLATE PLATE HRS SMITH & NEPHEW, INC. 10HM18763

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR