FDA Adverse Event Other Summary report: N

UNK

MDR report key: 1230265 · Received November 7, 2008

Report

Report Number
1644408-2008-00401
Event Type
Other
Date Received
November 7, 2008
Date of Event
October 27, 2008
Report Date
October 29, 2008
Manufacturer
ENCORE MEDICAL, L.P.
Product Code
HSH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

FLEXURE CONTRACTURE AND NEEDED NEW SIZE IMPLANT. ORIGINAL SURGERY DATE AND DEVICE INFORMATION ARE UNKNOWN, EXCEPT THAT THE ORIGINAL SURGERY WAS PERFORMED IN ANOTHER STATE.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention