BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GII

    MDR report key: 3123874 · Received May 22, 2013

    Report

    Report Number
    1020279-2013-00274
    Event Type
    Injury
    Date Received
    May 22, 2013
    Date of Event
    May 7, 2013
    Report Date
    May 7, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Report Source
    Manufacturer report
    Reporter Location
    US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO FEMORAL LOOSENING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    226002 GII GII FEMORAL JWH SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR