BEUDAMED
    FDA Adverse Event Other Summary report: N

    NONE

    MDR report key: 1053024 · Received May 27, 2008

    Report

    Report Number
    1644408-2008-00164
    Event Type
    Other
    Date Received
    May 27, 2008
    Report Date
    April 23, 2008
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    JDI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    NO INFO FOR THIS COMPLAINT RECEIVED. ENCORE HAS CONTACTED THE INITIAL REPORTER FOR THE REQUIRED INFO. WHEN THE INFO IS RECEIVED, ENCORE WILL FILE A FOLLOW-UP REPORT.

    Description of Event or Problem · 1

    ENCORE NOTIFIED OF A REVISION SURGERY. NO OTHER INFO HAS BEEN RECEIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE JDI ENCORE MEDICAL, L.P.

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Required Intervention