BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BCS TIBIA BASE PLATE

    MDR report key: 3092638 · Received May 3, 2013

    Report

    Report Number
    1020279-2013-00247
    Event Type
    Injury
    Date Received
    May 3, 2013
    Date of Event
    December 23, 2012
    Report Date
    April 23, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    PATIENT WAS ADMITTED INTO THE HOSPITAL FOR BLEEDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    193951 BCS TIBIA BASE PLATE JOURNEY TIBIA BASE NP LT SZ 5 JWH SMITH & NEPHEW, INC. 12EM04573

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Hospitalization 71332535/12GM01806| 74027262/12AM10967| 74024838/12FM00231| 74022125/12EM00472| 71332535/12HM12059