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 |