BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRIGEN TAN D LT LIME

    MDR report key: 3061034 · Received April 16, 2013

    Report

    Report Number
    1020279-2013-00214
    Event Type
    Injury
    Date Received
    April 16, 2013
    Date of Event
    March 12, 2013
    Report Date
    April 12, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AU
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED WHILE ENGAGING\DISENGAGING THE DEVICE INTRA-OPERATIVELY, THERE WAS A DELAY OF SURGERY TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    162076 TRIGEN TAN D LT LIME 13 X 34 130 JDS SMITH & NEPHEW, INC. 05BM19580

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Hospitalization| R TRIGEN END CAP