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 |