BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GENESIS II

    MDR report key: 1202742 · Received October 17, 2008

    Report

    Report Number
    1020279-2008-00278
    Event Type
    Injury
    Date Received
    October 17, 2008
    Date of Event
    October 1, 2008
    Report Date
    October 17, 2008
    Manufacturer
    SMITH & NEPHEW, INC., ORTHOPAEDIC DIV.
    Product Code
    HSH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO LOOSENING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GENESIS II TIBIAL BASE HSH SMITH & NEPHEW, INC., ORTHOPAEDIC DIV. NA 01KM10095

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Hospitalization| R