BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER

    MDR report key: 15119 · Received March 4, 1994

    Report

    Report Number
    33141-1994-00002
    Event Type
    Injury
    Date Received
    March 4, 1994
    Date of Event
    February 14, 1994
    Report Date
    February 18, 1994
    Manufacturer
    ZIMMER
    Product Code
    HTG
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IN, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PT COMPLAINED OF PAIN. IT WAS FOUND THAT THE PLASTIC HAD SEPERATED FROM THE METAL. THE MMMMGI PATELLA WAS REPLACED WITH A 00-5220-012-00.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER Implant MG PATELLA HTG ZIMMER NI

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Required Intervention