BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RESURFACING

    MDR report key: 2973686 · Received February 22, 2013

    Report

    Report Number
    1020279-2013-00119
    Event Type
    Injury
    Date Received
    February 22, 2013
    Date of Event
    December 11, 2012
    Report Date
    December 11, 2012
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION SURGERY WAS REQUIRED DUE TO DISASSOCIATION OF THE PATELLA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    78331 RESURFACING GNS II RESURF PAT 35MM JWH SMITH & NEPHEW, INC. 08GM13764

    Patients

    Seq Age Sex Outcome Treatment
    1 47 YR Required Intervention