FDA Adverse Event Summary report: N

*

MDR report key: 976174 · Received December 19, 2007

Report

Report Number
976174
Date Received
December 19, 2007
Date of Event
September 19, 2007
Report Date
December 19, 2007
Manufacturer
SMITH AND NEPHEW, INC.
Product Code
NDF
Report Source
User Facility report
Reporter Location
TN, US

Narratives

Description of Event or Problem · 1

PATIENT HAD AN OPEN REDUCTION INTERNAL FIXATION WITH RICHARDS HIP SCREW. AT FOLLOW-UP VISIT 2 WEEKS LATER, INCREASED PAIN. X-RAYS REVEALED LAG SCREW HAD CUT THROUGH THE FEMORAL HEAD. RETURNED TO SURGERY ONE MONTH FROM ORIGINAL SURGERY FOR REVISION OF INTERTROCHANTERIC HIP FRACTURE TO CEMENTED REVISION FEMORAL STEM WITH BIPOLAR HEAD WITH REMOVAL OF RICHARDS HIP SCREW AND SIDE PLATE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * HARDWARE, ORTHOPEDIC, HIP PLATE NDF SMITH AND NEPHEW, INC. * 05BT87224
2 * HARDWARE, ORTHOPEDIC, HIP SCREW LAG NDJ SMITH AND NEPHEW, INC. * 04KT8422

Patients

Seq Age Sex Outcome Treatment
1 76 YR NO OTHER THERAPIES| NO OTHER THERAPIES