BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HA COATED HALF PINS

    MDR report key: 3788919 · Received May 5, 2014

    Report

    Report Number
    1020279-2014-00291
    Event Type
    Injury
    Date Received
    May 5, 2014
    Date of Event
    March 25, 2014
    Report Date
    May 2, 2014
    Manufacturer
    SMITH & NEPHEW
    Product Code
    DZK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    REVISION SURGERY WAS REPORTED FOR REPLACEMENT OF A PIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    266523 HA COATED HALF PINS HA PIN {} 6MM {} 35MM X 150MM DZK SMITH & NEPHEW 11FT07893

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R