BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STRYKER CORP

    MDR report key: 1179743 · Received September 25, 2008

    Report

    Report Number
    1179743
    Event Type
    Injury
    Date Received
    September 25, 2008
    Date of Event
    August 14, 2008
    Report Date
    August 27, 2008
    Manufacturer
    STRYKER, INC.
    Product Code
    LOD
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS ADMITTED FOR REVISION OF LEFT TOTAL KNEE SECONDARY TO PAIN & INSTABILITY, SECONDARY TO LOOSE FEMORAL COMPONENT. SENDING ALL DOCUMENTATION AVAILABLE ON COMPONENTS. IN ACCORDANCE WITH HOSP POLICY, THE COMPONENTS REMOVED ARE NOT AVAILABLE FOR RELEASE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STRYKER CORP * LOD STRYKER, INC. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Hospitalization| R