BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SCREW

    MDR report key: 4220781 · Received November 3, 2014

    Report

    Report Number
    1020279-2014-00672
    Event Type
    Injury
    Date Received
    November 3, 2014
    Date of Event
    November 24, 2011
    Report Date
    January 24, 2012
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    HWC
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED, DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701073 SCREW HWC SMITH & NEPHEW, INC. 10LM02582

    Patients

    Seq Age Sex Outcome Treatment
    1