| Brand Name | JOURNEY II BCS FEMORAL OXIN LT SZ 7 |
| Common Device Name | PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, POLYMER/METAL |
| Manufacturer (Section D) |
| SMITH & NEPHEW, INC. |
| 1450 brooks rd. |
| memphis TN 38116 |
|
| Manufacturer (Section G) |
| SMITH & NEPHEW, INC. |
| 1450 brooks rd. |
|
| memphis TN 38116 |
|
| Manufacturer Contact |
|
holly
topping
|
| 1450 brooks rd. |
| memphis, TN 38116
|
|
5123913905
|
|
| MDR Report Key | 23937498 |
| Report Number | 1020279-2025-02155 |
| Device Sequence Number | 12168716 |
| Product Code |
JWH
|
| UDI-Device Identifier | 00885556170519 |
| UDI-Public | 885556170519 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K111711 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2024 |
| Device Explanted Year | 2025 |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
12/31/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 74022127 |
| Device Lot Number | 22MM10950 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 12/04/2025 |
| Initial Report FDA Received Date | 12/31/2025 |
| Date Device Manufactured | 12/16/2022 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
A
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | 74022225, JOURNEY TIBIA BASE NP LT SZ 5, 23JM10434.; 74027262, JRNY II BCS XLPE ART ISRT, 23CM02276. |
| Outcome Attributed to Adverse Event |
Hospitalization;
Required Intervention;
|
| Patient Sex | Unknown |
|
|