BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ITST FEMORAL NAIL

    MDR report key: 3150132 · Received May 30, 2013

    Report

    Report Number
    2648920-2013-00123
    Event Type
    Injury
    Date Received
    May 30, 2013
    Date of Event
    December 31, 2012
    Report Date
    April 28, 2013
    Manufacturer
    ZIMMER
    Product Code
    JDS
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JO
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE PATIENT WAS REVISED DUE TO THE NAIL BREAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    238049 ITST FEMORAL NAIL JDS ZIMMER 61234844

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Required Intervention