FDA Adverse Event Injury Summary report: N

UNK

MDR report key: 489378 · Received October 8, 2003

Report

Report Number
489378
Event Type
Injury
Date Received
October 8, 2003
Date of Event
September 10, 2003
Report Date
September 19, 2003
Manufacturer
UNK
Product Code
KWF
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
MO, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PATIENT STATES FINGER BECAME BENT AND PAINFUL AFTER ACCIDENT INVOLVING BUS AND TRACTOR TRAILER. THEY WERE BUS PASSENGER. CLUTCHING SEAT BAR IN FRONT OF THEM AT TIME OF IMPACT. NOW COMPLAINING OF PAIN (PERSISTENT DISCOMFORT) AND DECREASED FUNCTION AND FLEXION. FINGER IS BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK FINGER JOINT IMPLANT KWF UNK UNK *

Patients

Seq Age Sex Outcome Treatment
1 66 YR Required Intervention