BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GII STANDARD TIBIA B

    MDR report key: 2991074 · Received March 6, 2013

    Report

    Report Number
    8010764-2013-00014
    Event Type
    Injury
    Date Received
    March 6, 2013
    Date of Event
    January 17, 2013
    Report Date
    February 20, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT ON (B)(6) 2013 THE PATIENT HAD FLUID REMOVED FROM HIS KNEE. ON (B)(6) 2013 THE PATIENT RECEIVED ORTHOSCOPIC SURGERY TO REMOVE SCAR TISSUE, BONE FRAGMENTS AND BONE SPURS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    95875 GII STANDARD TIBIA B GNS II CMT TIB SIZE 6 {} LEFT JWH SMITH & NEPHEW, INC. 08DT18841

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Required Intervention (B)(4)| (B)(4)| (B)(4)