FDA Adverse Event Summary report: N

DEPUY ORTHOPAEDICS INC

MDR report key: 1657957 · Received March 29, 2010

Report

Report Number
1657957
Date Received
March 29, 2010
Date of Event
March 25, 2010
Report Date
March 29, 2010
Manufacturer
DEPUY ORTHOPAEDICS INC
Product Code
JWH
Report Source
User Facility report
Reporter Location
RI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PT HAD A SARCOMA AND PROSTHESIS WAS IMPLANTED 4 YRS AGO.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DEPUY ORTHOPAEDICS INC PROSTHESIS JWH DEPUY ORTHOPAEDICS INC UNK AP7CY1000, ZV9GV1000,

Patients

Seq Age Sex Outcome Treatment
1 54 YR