BEUDAMED
    FDA Adverse Event Injury Summary report: N

    IM NAIL

    MDR report key: 3120130 · Received May 20, 2013

    Report

    Report Number
    1020279-2013-00268
    Event Type
    Injury
    Date Received
    May 20, 2013
    Date of Event
    January 29, 2013
    Report Date
    January 29, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    IT WAS ORIGINALLY REPORTED THAT A REVISION SURGERY WAS PERFORMED, BUT FURTHER INFORMATION INDICATED THE SURGEON DID NOT FAULT THE SMITH & NEPHEW NAIL ON THE ORIGINAL SURGERY. REPORT 1020279-2013-00268 FILED IN ERROR.

    Description of Event or Problem · 1

    IT WAS ORIGINALLY REPORTED THAT A REVISION SURGERY WAS PERFORMED, BUT FURTHER INFORMATION INDICATED THE SURGEON DID NOT FAULT THE SMITH & NEPHEW NAIL ON THE ORIGINAL SURGERY. REPORT 1020279-2013-00268 FILED IN ERROR.

    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
    221779 IM NAIL IMPLANT JDS SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R