BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ITST INTERTROCHANTERIC/SUBTROCHANTERIC FIXATION LAG SCREW

    MDR report key: 413922 · Received August 30, 2002

    Report

    Report Number
    1822565-2002-00105
    Event Type
    Injury
    Date Received
    August 30, 2002
    Date of Event
    July 5, 2002
    Report Date
    July 31, 2002
    Manufacturer
    ZIMMER, INC.
    Product Code
    NDE
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    SURGEON IMPLANTED AN ITST ASIS (SHORT) NAIL IN PATIENT. PATIENT FELL 2-3 WEEKS AFTER SURGERY AND FRACTURED FEMORAL SHAFT AT LEVEL OF DISTAL LOCKING SCREW. NAIL WAS REMOVED AND A LONGER LENGTH ITST NAIL WAS IMPLANTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ITST INTERTROCHANTERIC/SUBTROCHANTERIC FIXATION LAG SCREW LAG SCREW NDE ZIMMER, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Hospitalization| R