BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TRIATHLON PRIM TIB BASEPLATE - CEMENTED

    MDR report key: 1030735 · Received April 17, 2008

    Report

    Report Number
    2249697-2008-00095
    Event Type
    Injury
    Date Received
    April 17, 2008
    Date of Event
    March 21, 2008
    Report Date
    March 21, 2008
    Manufacturer
    STRYKER ORTHOPAEDICS MAHWAH
    Product Code
    HSH
    PMA / PMN Number
    K031729
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NA

    Description of Event or Problem · 1

    IT WAS REPORTED THAT, "PT COMPLAINED OF PAIN ALMOST IMMEDIATELY POST OP. X-RAYS WERE TAKEN AND REVISION WAS SCHEDULED."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRIATHLON PRIM TIB BASEPLATE - CEMENTED IMPLANT HSH STRYKER ORTHOPAEDICS MAHWAH NA VIZS

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Required Intervention