BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RESURFACING

    MDR report key: 3963717 · Received July 29, 2014

    Report

    Report Number
    1020279-2014-00463
    Event Type
    Injury
    Date Received
    July 29, 2014
    Date of Event
    July 25, 2014
    Report Date
    July 25, 2014
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A REVISION WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    441229 RESURFACING GNS II RESURF PAT 35MM JWH SMITH & NEPHEW, INC. 13BMO1766

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Hospitalization| R