SMOOTH WIRES 71102102

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,07 report with the FDA on 2013-06-27 for SMOOTH WIRES 71102102 manufactured by Smith & Nephew, Inc..

Event Text Entries

[3478582] It was reported that revision surgery was performed on (b)(6) 2013 due to a broken wire between the outside of the left leg and the ring. According to information from the hospital the (b)(6) patient was known to fall.
Patient Sequence No: 1, Text Type: D, B5


[10866685] .
Patient Sequence No: 1, Text Type: N, H10


[10908838] An overload fracture may have occurred during the reported falls. Fatigue cracking is caused by the wire bearing cyclic (i. E. Repeated) stresses in excess of the material endurance limit for an extended period of time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1020279-2013-00338
MDR Report Key3192994
Report Source01,07
Date Received2013-06-27
Date of Report2013-04-08
Date of Event2013-03-21
Date Mfgr Received2013-04-08
Date Added to Maude2013-06-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMS. CARLA SAMUELS
Manufacturer Street1450 BROOKS ROAD
Manufacturer CityMEMPHIS TN 38116
Manufacturer CountryUS
Manufacturer Postal38116
Manufacturer Phone9013995076
Manufacturer G1SMITH & NEPHEW, INC.
Manufacturer Street1450 BROOKS ROAD
Manufacturer CityMEMPHIS TN 38116
Manufacturer CountryUS
Manufacturer Postal Code38116
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSMOOTH WIRES
Generic NameWIRE BAY PT CORTICAL 370MM
Product CodeDZK
Date Received2013-06-27
Catalog Number71102102
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW, INC.
Manufacturer Address1450 BROOKS ROAD MEMPHIS TN 38116 US 38116


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2013-06-27

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