BEUDAMED
    FDA Adverse Event Other Summary report: N

    KNEE

    MDR report key: 1202768 · Received October 13, 2008

    Report

    Report Number
    1644408-2008-00356
    Event Type
    Other
    Date Received
    October 13, 2008
    Date of Event
    September 25, 2008
    Report Date
    September 25, 2008
    Manufacturer
    ENCORE MEDICAL, L.P.
    Product Code
    HSH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    VERY LITTLE PART INFO KNOWN. ENCORE WILL CONTINUE TO RESEARCH THIS COMPLAINT AND WILL SUBMIT A FOLLOW UP REPORT WHEN ADDITIONAL INFO IS RECEIVED.

    Description of Event or Problem · 1

    REVISION SURGERY - BROKEN STEM ON TIBIAL POLY DUE TO PT WEAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KNEE TIBIAL POLY HSH ENCORE MEDICAL, L.P.

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention