BEUDAMED
    FDA Adverse Event Injury Summary report: N

    JOURNEY I BCS/RENASY

    MDR report key: 2991650 · Received March 6, 2013

    Report

    Report Number
    1020279-2013-00148
    Event Type
    Injury
    Date Received
    March 6, 2013
    Date of Event
    April 1, 2011
    Report Date
    March 4, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REVISION - PAIN PERSISTENT IMPINGEMENT, TENDINITIS AND PAIN OF LEFT KNEE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    95146 JOURNEY I BCS/RENASY JOURNEY FEM OX NP BCS LT SZ 6 JWH SMITH & NEPHEW, INC. 08HM09524

    Patients

    Seq Age Sex Outcome Treatment
    1 41 YR Required Intervention