BEUDAMED
    FDA Adverse Event Other Summary report: N

    MJS KNEE

    MDR report key: 2358116 · Received November 23, 2011

    Report

    Report Number
    1644408-2011-00612
    Event Type
    Other
    Date Received
    November 23, 2011
    Date of Event
    November 9, 2011
    Report Date
    November 9, 2011
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY - THE PT HAD EXCESSIVE LAXITY IN THE JOINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MJS KNEE TIBIAL INSERT JWH ENCORE MEDICAL, L.P. U503

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention