BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TAN 130 NAILS

    MDR report key: 4152782 · Received October 8, 2014

    Report

    Report Number
    1020279-2014-00626
    Event Type
    Injury
    Date Received
    October 8, 2014
    Report Date
    March 12, 2015
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    631236 TAN 130 NAILS 11.5 X 42 130 D TAN LT LIME JDS SMITH & NEPHEW, INC. 13EM18719

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R