BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INTERTAN 10S NAILS

    MDR report key: 3220414 · Received July 11, 2013

    Report

    Report Number
    1020279-2013-00356
    Event Type
    Injury
    Date Received
    July 11, 2013
    Report Date
    July 5, 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 A REVISION SURGERY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    321076 INTERTAN 10S NAILS 11.5MM X 20CM 125D JDS SMITH & NEPHEW, INC. 12EM07678

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization| R