BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JOURNEY

    MDR report key: 2211726 · Received August 15, 2011

    Report

    Report Number
    1020279-2011-00328
    Event Type
    Injury
    Date Received
    August 15, 2011
    Date of Event
    August 3, 2010
    Report Date
    August 15, 2011
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY WAS REPORTED DUE TO PAIN AND PATELLA POPPING, PATIENT SLEPT WITH LEFT KNEE CAUGHT UNDER HER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOURNEY JOURNEY UNI TIBINRT S3-4LM/RL8MM JWH SMITH & NEPHEW ORTHOPAEDICS 08AM23372

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Hospitalization| R