BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JOURNEY KNEE IMPLANT

    MDR report key: 2771078 · Received October 3, 2012

    Report

    Report Number
    1020279-2012-00550
    Event Type
    Injury
    Date Received
    October 3, 2012
    Date of Event
    September 19, 2012
    Report Date
    October 2, 2012
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERORMED DUE TO A BROKEN TIBIAL PLATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 JOURNEY KNEE IMPLANT JOURNEY KNEE IMPLANT JWH SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R