BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TAN 130 NAILS

    MDR report key: 3971838 · Received July 31, 2014

    Report

    Report Number
    1020279-2014-00471
    Event Type
    Injury
    Date Received
    July 31, 2014
    Date of Event
    July 27, 2014
    Report Date
    July 27, 2014
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED A REVISION SURGERY WAS PERFORMED TO REMOVE BROKEN NAIL AND ASSOCIATED IMPLANTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    446937 TAN 130 NAILS 10 X 34 130 D TAN RT ROSE JDS SMITH & NEPHEW, INC. 12MM10726

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Hospitalization| R 71634010 NAIL CAP {} 10MM, LOT 08DM08091