BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1231725 · Received November 15, 2008

    Report

    Report Number
    1020279-2008-00302
    Event Type
    Injury
    Date Received
    November 15, 2008
    Date of Event
    October 17, 2008
    Report Date
    November 14, 2008
    Manufacturer
    SMITH & NEPHEW INC., ORTHOPAEDIC DIV.
    Product Code
    JDI
    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. THE REASON FOR THE REVISION IS UNK.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R