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 |