BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 960061 · Received December 7, 2007

    Report

    Report Number
    1020279-2007-00368
    Event Type
    Injury
    Date Received
    December 7, 2007
    Date of Event
    August 21, 2007
    Report Date
    November 8, 2007
    Manufacturer
    SMITH & NEPHEW, INC., ORTHOPAEDIC DIV.
    Product Code
    JDD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NA

    Description of Event or Problem · 1

    IT WAS REPORTED THAT ADDITIONAL SURGERY WAS PERFORMED DUE TO A SURGICAL ERROR, A MARKING PIN WAS INADVERTENTLY LEFT IN THE PATIENT AND WAS RETURNED TO THE OR FOR REMOVAL OF THAT PIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BHR MARKING PIN JDD SMITH & NEPHEW, INC., ORTHOPAEDIC DIV. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK YR Hospitalization| R