BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JOURNEY BCS

    MDR report key: 1012580 · Received March 12, 2008

    Report

    Report Number
    1020279-2008-00086
    Event Type
    Injury
    Date Received
    March 12, 2008
    Report Date
    March 12, 2008
    Manufacturer
    SMITH & NEPHEW, INC./ORTHOPAEDIC DIV.
    Product Code
    HSH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO DISLOCATION OF THE INSERT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOURNEY BCS INSERT HSH SMITH & NEPHEW, INC./ORTHOPAEDIC DIV. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R