BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WIRE BAY PT CORTICAL 370MM

    MDR report key: 2980948 · Received February 27, 2013

    Report

    Report Number
    1020279-2013-00130
    Event Type
    Injury
    Date Received
    February 27, 2013
    Date of Event
    January 30, 2013
    Report Date
    January 30, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    DZK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO BROKEN WIRES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    84336 WIRE BAY PT CORTICAL 370MM CORTICAL WIRE DZK SMITH & NEPHEW, INC. 12DM11799

    Patients

    Seq Age Sex Outcome Treatment
    1 14 YR Required Intervention