FDA Adverse Event Other Summary report: N

UNKNOWN

MDR report key: 1061736 · Received June 16, 2008

Report

Report Number
1644408-2008-00182
Event Type
Other
Date Received
June 16, 2008
Date of Event
May 21, 2008
Report Date
May 21, 2008
Manufacturer
ENCORE MEDICAL, L.P.
Product Code
HRY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

NO FURTHER INFO RECEIVED. ENCORE WILL CONTINUE TO RESEARCH THE COMPLAINT AND WILL SUBMIT A FOLLOW-UP REPORT WHEN THE INFORMATION IS RECEIVED.

Description of Event or Problem · 1

REVISION SURGERY-KNEE WAS INFECTED AND SURGEON DID A POLY SWAP. ORIGINAL SURGERY DATE OF THE PROCEDURE IS UNKNOWN, APPROX 13 YEARS AGO.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 49 YR Required Intervention