FDA Adverse Event Injury Summary report: N

GENESIS

MDR report key: 197973 · Received November 16, 1998

Report

Report Number
1020279-1998-00065
Event Type
Injury
Date Received
November 16, 1998
Date of Event
July 31, 1998
Report Date
November 10, 1998
Manufacturer
SMITH & NEPHEW, INC./ORTHOPAEDICS DIV
Product Code
HSH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE DEVICE, INITIALLY IMPLANTED ON 04/12/1995, WORE AND REQUIRED REVISION ON 07/31/1997.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GENESIS Implant TIBIAL INSERT HSH SMITH & NEPHEW, INC./ORTHOPAEDICS DIV NA 4X22072

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Hospitalization| R