BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLUS

    MDR report key: 3143431 · Received June 3, 2013

    Report

    Report Number
    9613369-2013-00045
    Event Type
    Injury
    Date Received
    June 3, 2013
    Date of Event
    June 28, 2011
    Report Date
    May 24, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    244826 PLUS FEMORAL COMPONENT JDH SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization| R