FDA Adverse Event Injury Summary report: N

VISIONAIRE GII FEMOR

MDR report key: 2161345 · Received July 13, 2011

Report

Report Number
1020279-2011-00251
Event Type
Injury
Date Received
July 13, 2011
Date of Event
April 27, 2011
Report Date
July 12, 2011
Manufacturer
SMITH & NEPHEW, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SURGICAL TEAM EXPERIENCED DIFFICULTY WITH THE BLOCKS FITTING PROPERLY CAUSING AN EXTENSION OF SURGERY TIME BETWEEN 31-60 MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VISIONAIRE GII FEMOR VISIONAIRE LT CUTTING BLOCK KIT-GII JWH SMITH & NEPHEW, INC. PM024767

Patients

Seq Age Sex Outcome Treatment
1 63 YR Hospitalization