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GENESIS II 71440842Recalls & reported problems

Smith & Nephew, Inc. · GENESIS II OVAL PATELLAR RESURFACING 5 POINT SIZING GUIDE · Class 2

All models of GENESIS II (462)

Data updated Oct 16, 2026 from official FDA records · Editorial policy

Quick summary

This Smith & Nephew Genesis II oval patellar sizing guide is an instrument used to size the kneecap during knee replacement. Most of the 113 reports describe the guide breaking, sometimes with a piece breaking off during surgery, and surgeons usually continued with the same or a backup device. The reports include no injuries and no deaths, and 8 note no consequences to the patient. No recalls name this device.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
113
Deaths reported
0
Injuries reported
0
Recalls naming it
0

Summary

The FDA's MAUDE database contains 113 adverse event reports that list this exact device (DI 03596010485045), received between Feb 11, 2019 and Jun 11, 2024 — classified as 113 malfunctions.

The most frequently reported specific device problem is “Break” (102 reports).

4 other recalls cover devices cleared under the same FDA submission (K121393); they may or may not involve this specific model.

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 1 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 2 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520262
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Break102
  • Fracture8
  • Crack2
  • Material Fragmentation1
  • Material Separation1

Patient problems

  • No Clinical Signs, Symptoms or Conditions92
  • No Patient Involvement9
  • No Consequences Or Impact To Patient8
  • No Known Impact Or Consequence To Patient6

Recent adverse event reports

The 25 most recent of 113 reports, in the reporter's own words as published by the FDA.

  • MalfunctionJun 11, 2024Fracture; Fracture

    IT WAS REPORTED THAT, DURING TKA SURGERY WHILE SIZING THE PATELLA, ONE (1) GII OVAL PATELLA {} 5 PT. SZ GDE BROKE. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. PATIENT WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19510525 ↗
  • MalfunctionJun 1, 2024Fracture; Fracture

    IT WAS REPORTED THAT, DURING TKA SURGERY, THE GII OVAL PATELLA {} 5 PT. SZ GDE BROKE WHEN TRICKLING THE PATELLA. NO X-RAY AVAILABLE, PART RETRIEVED WITH SUCTION. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 19442267 ↗
  • MalfunctionMar 7, 2024Fracture; Fracture

    IT WAS REPORTED THAT DURING A TKA SURGERY, ONE OF THE SIZERS GII OVAL PATELLA {} 5 PT. SZ GDE BROKE OFF. NOTHING FELL INTO THE PATIENT. ALL PIECES RETRIEVED BY HAND. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. PATIENT WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 18858385 ↗
  • MalfunctionSep 4, 2023Fracture; Fracture

    IT WAS REPORTED THAT, DURING TKA SURGERY, A PIECE OF ONE (1) GII OVAL PATELLA 5 PT. SZ GDE BROKE OFF. NO PIECES FELL INTO THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. PATIENT WAS NOT INJURED AS CONSEQUENCE OF THIS PROBLEM

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 17675164 ↗
  • MalfunctionApr 6, 2023Fracture; Fracture

    IT WAS REPORTED THAT DURING A TKA SURGERY, ONE ARM OF THE GII OVAL PATELLA 5 PT. SZ GDE DEVICE BROKE. NO BROKEN PIECE FELL INTO THE WOUND. THE PROCEDURE WAS PERFORMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. PATIENT WAS NOT HARMED AS CONSEQUENCE OF THIS PROBLEM.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 16690351 ↗
  • MalfunctionSep 8, 2022Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA, A GII OVAL PATELLA {} 5 PT. SZ GDE WAS FOUND TO BE BROKEN DUE TO MANY YEARS OF USE. SURGERY WAS RESUMED, AFTER A SIGNIFICANT DELAY, WITH A S+N BACKUP DEVICE. THE PATIENT WAS NOT INJURED BEYOND THE REPORTED ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 15384047 ↗
  • MalfunctionJun 6, 2022Break; Break

    IT WAS REPORTED THAT, A GII OVAL PATELLA 5 PT. SZ GDE BROKE OFF. AS THIS WAS NOTICE IN A FIELD INSPECTION, NOT PATIENT WAS INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14611434 ↗
  • MalfunctionMay 14, 2022Break; Break

    IT WAS REPORTED THAT THE GII OVAL PATELLA {} 5 PT. SZ GDE WAS FOUND BROKEN. SINCE THIS WAS NOTICED DURING A FIELD INSPECTION, NO CASE WAS INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14403187 ↗
  • MalfunctionMay 6, 2022Break; Break

    IT WAS REPORTED THAT A GII OVAL PATELLA {} 5 PT. SZ GDE BROKE. AS THIS WAS NOTICED UPON CLEANING AND STERILIZATION ACTIVITIES, THERE WAS NO PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14307659 ↗
  • MalfunctionMay 4, 2022Break; Break

    IT WAS REPORTED THAT, THREE (3) GII OVAL PATELLA 5 PT. SZ GDE ARE MISSING A SIZE THAT WAS BROKEN OFF. EACH SIZING GUIDE IS MISSING ONE SIZE. AS THIS WAS NOTICE DURING FIELD INSPECTION, NOT PATIENT WAS INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14279552 ↗
  • MalfunctionMay 4, 2022Break; Break

    IT WAS REPORTED THAT, THREE (3) GII OVAL PATELLA 5 PT. SZ GDE ARE MISSING A SIZE THAT WAS BROKEN OFF. EACH SIZING GUIDE IS MISSING ONE SIZE. AS THIS WAS NOTICE DURING FIELD INSPECTION, NOT PATIENT WAS INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14272448 ↗
  • MalfunctionApr 4, 2022Break; Break

    IT WAS REPORTED THAT A GII OVAL PATELLA 5 PT. SZ GDE IS BROKEN. IT IS UNKNOWN IF THIS WAS NOTICED DURING SURGERY OR NOT; THEREFORE, PATIENT INVOLVEMENT HAS NOT BEEN CONFIRMED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 14003483 ↗
  • MalfunctionApr 1, 2022Break; Break

    IT WAS REPORTED THAT, A GII OVAL PATELLA 5 PT. SZ GDE WAS FOUND BROKEN. AS THIS WAS NOTICED UPON FIELD INSPECTION, THERE WAS NOT PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13983108 ↗
  • MalfunctionMar 29, 2022Break; Break

    IT WAS REPORTED THAT, A GII OVAL PATELLA 5 PT. SZ GDE BROKE OFF FROM TOO MUCH USE. AS THIS HAPPENED AFTER A TKA SURGERY, THE PATIENT WAS NO LONGER INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13935050 ↗
  • MalfunctionMar 29, 2022Break; Break

    IT WAS REPORTED THAT, A GII OVAL PATELLA 5 PT. SZ GDE BROKE OFF FROM TOO MUCH USE. AS THIS HAPPENED AFTER A TKA SURGERY THE PATIENT WAS NO LONGER INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13934963 ↗
  • MalfunctionMar 23, 2022Crack; Crack

    IT WAS REPORTED THAT, DURING SET UP FOR A TKA SURGERY, IT WAS FOUND THAT A GII OVAL PATELLA 5 PT. SZ GDE SIZER WAS CRACKED. THE PROCEDURE WAS ABLE TO BE COMPLETED, WITHOUT DELAY, USING THE SAME DEVICE. PATIENT WAS NOT HARMED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13870364 ↗
  • MalfunctionMar 9, 2022Break; Break

    IT WAS REPORTED THAT, DURING INSPECTION, THE GII OVAL PATELLA 5 PT. SZ GDE WAS FOUND BROKEN. NO CASE INVOLVED; THEREFORE, THERE WAS NO PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13715571 ↗
  • MalfunctionMar 8, 2022Break; Break

    IT WAS REPORTED THAT, A GII OVAL PATELLA 5 PT. SZ GDE BROKE OFF. AS THIS HAPPENED DURING THE SET UP OF A TKA SURGERY, THE PATIENT WAS NOT YET INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13697833 ↗
  • MalfunctionMar 8, 2022Break; Break

    IT WAS REPORTED THAT ONE ARM OF THE GENESIS II OVAL PATELLA 5 PT. SIZE GDE HAD BROKEN OFF. AS THIS WAS NOTICED UPON CLEANING AND STERILIZATION ACTIVITIES, THERE WAS NOT PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13691570 ↗
  • MalfunctionFeb 27, 2022Break; Break

    IT WAS REPORTED THAT A GII OVAL PATELLA 5 PT. SZ GDE BROKE. AS THIS WAS NOTICED UPON CLEANING AND STERILIZATION ACTIVITIES, THERE WAS NOT PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13615240 ↗
  • MalfunctionFeb 27, 2022Break; Break

    IT WAS REPORTED THAT A GII OVAL PATELLA 5 PT. SZ GDE BROKE. AS THIS WAS NOTICED UPON CLEANING AND STERILIZATION ACTIVITIES, THERE WAS NOT PATIENT INVOLVEMENT.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13615237 ↗
  • MalfunctionFeb 24, 2022Break; Break

    IT WAS REPORTED THAT, A GII OVAL PATELLA 5 PT. SZ GDE WAS FOUND BROKEN. AS THIS WAS NOTICE IN A FIELD INSPECTION, NOT PATIENT WAS INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13595804 ↗
  • MalfunctionFeb 22, 2022Break; Break

    IT WAS REPORTED THAT WHILE OPENING THE GII OVAL PATELLA 5 PT. SZ GDE FOR THE TKA, THE ITEM WAS NOTICED TO HAVE A SECTION BROKEN OFF OF IT (DURING WASHING/ STERILIZING.) NO CASE WAS INVOLVED, THERE WAS A S&N BACK UP AVAILABLE, AND THERE WAS NO DELAY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13581067 ↗
  • MalfunctionFeb 16, 2022Break; Break

    IT WAS REPORTED THAT, DURING THE SET UP FOR TKA, ONE OF THE GII OVAL PATELLA 5 PT. SZ GDE BROKE OFF. A SMITH AND NEPHEW BACK UP DEVICE WAS AVAILABLE. AS THIS WAS NOTICED DURING SET UP, NO INJURY TO PATIENT OR DELAY WAS REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13540147 ↗
  • MalfunctionFeb 10, 2022Break; Break

    IT WAS REPORTED THAT THE GII OVAL PATELLA SIZING GUIDE IS BROKEN. AS THIS WAS NOTICED IN A NON-SURGICAL ENVIRONMENT, THERE WAS NO PATIENT INVOLVED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 13509478 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under K121393. One submission often covers many models, so check the product and lot details in each record.

  • Z-0878-2020 · Dec 16, 2019 · Open, Classified
    LEGION AP Cutting Block Size 4, REF 71434409; LEGION AP Cutting Block Size 6, REF 71434411; LEGION AP Cutting Block Size 7, REF 71434412; LEGION AP Cutting Block Size 8, REF 714344
  • Z-0200-2019 · Sep 18, 2018 · Terminated
    Smith+Nephew Orthopaedic Division LEGION A/P FEMORAL CUTTING BLOCK, SIZE 6 REF 71434411, QTY: (1) The LEGION AP Femoral Cutting Block is a reusable surgical instrument used to mak
  • Z-2163-2018 · May 4, 2018 · Terminated
    smith&nephew GENESIS(R) II TIBIAL Punch, 13 MM, REF 71440408, QTY: (1)
  • Z-1902-2018 · Apr 9, 2018 · Terminated
    smith&nephew 5o (5 degree) GENESIS(R) II VALGUS BUSHING, REF CATALOG NUMBER 71440014 The GENESIS II Knee System Components are indicated for rheumatoid arthritis; post-traumatic a

Other PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER devices

All PROSTHESIS, KNEE, FEMOROTIBIAL, SEMI-CONSTRAINED, CEMENTED, METAL/POLYMER devices →

Sources and updates

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