BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GII CR

    MDR report key: 3923771 · Received July 9, 2014

    Report

    Report Number
    1020279-2014-00399
    Event Type
    Injury
    Date Received
    July 9, 2014
    Date of Event
    June 16, 2014
    Report Date
    June 16, 2014
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    .

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION SURGERY WAS PERFORMED DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    401524 GII CR GNS II C/R FEM SIZE 7 RIGHT JWH SMITH & NEPHEW, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention