| Brand Name | JOURNEY DCF AP FEM CUT BLK 7 |
| Common Device Name | Prosthesis, Knee, Femorotibial, Semi-Constrained, Cemented, Metal/Polymer |
| 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
|
|
+1(512)391-3905
|
|
| MDR Report Key | 50304618 |
| Report Number | 1020279-2026-01160 |
| Device Sequence Number | 13293235 |
| Product Code |
HRY
|
| UDI-Device Identifier | 03596010556691 |
| UDI-Public | 03596010556691 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K121393 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/18/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Catalogue Number | 74012417 |
| Device Lot Number | 18BM07628 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/28/2026 |
| Initial Report FDA Received Date | 08/18/2026 |
| Date Device Manufactured | 02/12/2018 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|