FDA Adverse Event Injury Summary report: N

KNEE IMPLANT

MDR report key: 2161395 · Received July 13, 2011

Report

Report Number
1020279-2011-00252
Event Type
Injury
Date Received
July 13, 2011
Date of Event
June 15, 2011
Report Date
July 12, 2011
Manufacturer
SMTIH & NEPHEW, INC. ORTHOPAEDIC DIVISION
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT HAS BEEN REPORTED THAT THE PATIENT'S KNEE DISLOCATED. THE PATIENT WAS ADMITTED TO THE HOSPITAL AND PUT UNDER ANESTHESIA TO MANIPULATE THE KNEE. PRODUCT IS NOT AVAILABLE FOR RETURN.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R