FDA Adverse Event Injury Summary report: N

JUNI

MDR report key: 2981523 · Received February 27, 2013

Report

Report Number
1020279-2013-00133
Event Type
Injury
Date Received
February 27, 2013
Date of Event
June 5, 2009
Report Date
February 25, 2013
Manufacturer
SMITH & NEPHEW, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SURGEON PERFORMED MANIPULATION UNDER ANETHESIA DUE TO STIFFNESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
83842 JUNI JOURNEY UNI TIB BASE RM/LL SZ 4 JWH SMITH & NEPHEW, INC. 08LM17765

Patients

Seq Age Sex Outcome Treatment
1 51 YR Required Intervention