BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CABLE-READY CABLE GRIP SYSTEM CERCLAGE CABLE WITH NEEDLE AND

    MDR report key: 1202413 · Received October 17, 2008

    Report

    Report Number
    1822565-2008-00709
    Event Type
    Malfunction
    Date Received
    October 17, 2008
    Date of Event
    September 5, 2008
    Report Date
    September 17, 2008
    Manufacturer
    ZIMMER, INC.
    Product Code
    JDQ
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT WHEN THE SURGEON OPENED THE STERILIZATION PACKAGING, THE PRODUCT WAS NOT INSIDE. ONLY CRIMPS WAS CONTAINED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CABLE-READY CABLE GRIP SYSTEM CERCLAGE CABLE WITH NEEDLE AND TRAUMA PROSTHESIS JDQ ZIMMER, INC. NA 61007091

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK