BEUDAMED
    FDA Adverse Event Other Summary report: N

    FOUNDATION KNEE SYSTEM

    MDR report key: 1001886 · Received February 25, 2008

    Report

    Report Number
    1644408-2008-00067
    Event Type
    Other
    Date Received
    February 25, 2008
    Date of Event
    January 31, 2008
    Report Date
    February 25, 2008
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    HTG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    REVISION SURGERY - PT HAVING PAIN. PATELLA ALSO NOT TRACKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FOUNDATION KNEE SYSTEM PATELLA, ALL POLY 8/9 MM HTG ENCORE MEDICAL, L.P. 936421

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention 385-09-504