FDA Adverse Event Injury Summary report: N

LEGION

MDR report key: 1912583 · Received December 2, 2010

Report

Report Number
1020279-2010-00338
Event Type
Injury
Date Received
December 2, 2010
Date of Event
November 11, 2010
Report Date
December 2, 2010
Manufacturer
SMITH-NEPHEW INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO KNEE INSTABILITY. PRIMARY SURGERY WAS PERFORMED IN 2009.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 LEGION KNEE IMPLANT JWH SMITH-NEPHEW INC.

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention