BEUDAMED
    FDA Adverse Event Summary report: N

    TITANIUM ELBOW IMPLANT COMPONENT

    MDR report key: 11562 · Received February 7, 1994

    Report

    Report Number
    MW4000235
    Date Received
    February 7, 1994
    Report Date
    August 27, 1993
    Manufacturer
    ZIMMER, INC.
    Product Code
    KWJ
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    FOUR YRS AGO, RPTR HAD A CUSTOMIZED ELBOW TITANIUM IMPLANT WITH MODIFIED ULNAR COMPONENT. RPTR IS AND HAS BEEN IN CONSTANT PAIN EVERY DAY EVERY MIN SINCE SHE HAD THIS SURGERY. SHE CAN GET NO HELP FROM ANY SURGEON SHE'S SEEN THE PAST FOUR YRS. NO ONE WILL TOUCH IT TO GIVE HER RELIEF. RPTR IS NOT ONLY IN PAIN, BUT HER ARM IS BECOMING ATROFIED AND SHE IS LOOSING THE USE OF HER HAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TITANIUM ELBOW IMPLANT COMPONENT KWJ ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 *