BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1040179 · Received May 8, 2008

    Report

    Report Number
    1020279-2008-00146
    Event Type
    Injury
    Date Received
    May 8, 2008
    Date of Event
    April 24, 2007
    Report Date
    May 8, 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 THE IMPLANTATION OF A LEFT TIBIAL BASE INTO THE PT'S RIGHT KNEE. THE PRODUCT WAS LABELED APPROPRIATELY; THEREFORE, THIS IS CONSIDERED TO BE A SURGEON ERROR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK TIBIAL BASE HSH SMITH & NEPHEW, INC., ORTHOPAEDIC DIV. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R