BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE-CONSTRAINED CONDYLAR KNEE (LCCK) ARTIC

    MDR report key: 1030040 · Received April 15, 2008

    Report

    Report Number
    1822565-2008-00175
    Event Type
    Injury
    Date Received
    April 15, 2008
    Date of Event
    January 21, 2008
    Report Date
    January 31, 2008
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE DEVICE WAS REVISED IN 2008, DUE TO BROKEN POLY POST. THE IMPLANT DATE IS UNK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE-CONSTRAINED CONDYLAR KNEE (LCCK) ARTIC KNEE PROSTHESIS JWH ZIMMER, INC. NA 60630915

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R