BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KNEE IMPLANT

    MDR report key: 2142483 · Received June 28, 2011

    Report

    Report Number
    1020279-2011-00226
    Event Type
    Injury
    Date Received
    June 28, 2011
    Date of Event
    December 20, 2010
    Report Date
    June 28, 2011
    Manufacturer
    SMITH & NEPHEW, INC. ORTHOPAEDIC DIVISION
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    VOLUNTARY REPORT FILED WITH THE FDA UNDER REPORT # (B)(4) BY THE PATIENT. SMITH & NEPHEW, INC. WAS MADE AWARE VIA THE FDA.

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED THAT THE PATIENT WAS SEDATED TO MANUALLY MANIPULATE A DISLOCATED KNEE BACK IN TO PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KNEE IMPLANT INSERT JWH SMITH & NEPHEW, INC. ORTHOPAEDIC DIVISION

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R