FDA Adverse Event Injury Summary report: N

RENOVATION

MDR report key: 781007 · Received November 13, 2006

Report

Report Number
1020279-2006-00642
Event Type
Injury
Date Received
November 13, 2006
Report Date
October 10, 2006
Manufacturer
SMITH & NEPHEW, INC., ORTHOPAEDIC DIV
Product Code
LZV
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING A REVISION SURGERY, IT WAS REPORTED THAT OR TIME WAS EXTENDED MORE THAN 30 MINS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RENOVATION FEMORAL COMPONENT LZV SMITH & NEPHEW, INC., ORTHOPAEDIC DIV UNK 05MM07238

Patients

Seq Age Sex Outcome Treatment
1 75 YR Hospitalization| O| R