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 |