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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. LEGION PS NP FEM SZ 7 LT; PRSTHSS,KN,PTLLFMRTBL,SM-CNSTRND,CMNTD,PLYMR/MTL

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SMITH & NEPHEW, INC. LEGION PS NP FEM SZ 7 LT; PRSTHSS,KN,PTLLFMRTBL,SM-CNSTRND,CMNTD,PLYMR/MTL Back to Search Results
Model Number 71423227
Device Problem Expiration Date Error (2528)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 04/06/2020
Event Type  malfunction  
Event Description
It was reported that the device was contained in a package with expiration time for 2025.When scanning, the implant item was found to be marked as expired on the system since 2016.No case related.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
 
Manufacturer Narrative
The associated device, intended for use in treatment, was returned and evaluated.A visual inspection of the returned device could not confirm the stated failure mode.The device was manufactured in 2015 and was returned unused in its original packaging.The sterilization date on the box corresponds to the date of manufacture.The product evaluation confirmed the stated failure mode.The expiration date in sap does not match what is on the device.A review of complaint history did not reveal additional complaints for the listed batch.A review of the manufacturing records did not reveal a manufacturing abnormality that could have caused or contributed to the reported incident.At this time, we do not have reason to suspect that the product failed to meet any product specifications at the time of manufacture.The potential probable cause for this event is likely human error.Based on this investigation, the need for corrective action is indicated.The expiration date in sap has been corrected.Should additional information be received, the complaint will be reopened.No further investigation is warranted for this complaint; however, we will continue to monitor for future complaints and investigate as necessary.
 
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Brand Name
LEGION PS NP FEM SZ 7 LT
Type of Device
PRSTHSS,KN,PTLLFMRTBL,SM-CNSTRND,CMNTD,PLYMR/MTL
Manufacturer (Section D)
SMITH & NEPHEW, INC.
1450 brooks road
memphis TN 38116
MDR Report Key10012387
MDR Text Key189430456
Report Number1020279-2020-01401
Device Sequence Number1
Product Code JWH
UDI-Device Identifier03596010611505
UDI-Public03596010611505
Combination Product (y/n)N
PMA/PMN Number
K060742
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,user f
Type of Report Initial,Followup
Report Date 06/14/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/29/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date01/06/2016
Device Model Number71423227
Device Catalogue Number71423227
Device Lot Number15LM13603
Was Device Available for Evaluation? No
Date Manufacturer Received06/05/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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