BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER, INC.

    MDR report key: 148658 · Received February 10, 1998

    Report

    Report Number
    1123762-1998-00002
    Event Type
    Injury
    Date Received
    February 10, 1998
    Date of Event
    February 2, 1998
    Report Date
    February 9, 1998
    Manufacturer
    ZIMMER, INC.
    Product Code
    HTG
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    MD, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT HAD DELAMINATION OF A POROUS MGI PATELLA. PATELLA WAS ORIGINALLY IMPLANTED WITH A IBII FEMORAL COMPONENT AND A IBI TIBIAL COMPONENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER, INC. Implant MGI POROUS PATELLA HTG ZIMMER, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Required Intervention