BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SCREW

    MDR report key: 4191482 · Received October 22, 2014

    Report

    Report Number
    1020279-2014-00657
    Event Type
    Injury
    Date Received
    October 22, 2014
    Report Date
    September 28, 2014
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    HWC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY WAS REPORTED DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    672958 SCREW SCREW HWC SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R