BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER, INC

    MDR report key: 14274 · Received March 11, 1994

    Report

    Report Number
    32966-1994-00001
    Event Type
    Injury
    Date Received
    March 11, 1994
    Date of Event
    January 20, 1994
    Report Date
    February 11, 1994
    Manufacturer
    ZIMMER, INC.
    Product Code
    GCY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    UPON REMOVAL OF HEMMOVAC FROM PT, THE TUBING BROKE OFF. THIS REQUIRED THE PT TO BE OPENED UP TO REMOVE THE IRRIGATION TUBING. THIS WAS PERFORMED IN THE PT'S ROOM UNDER LOCAL ANESTHESIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER, INC Implant CLOSED WOUND SUNCTION DEVICE GCY ZIMMER, INC. UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention