BEUDAMED
    FDA Adverse Event Other Summary report: N

    ZIMMER, INC.

    MDR report key: 17255 · Received May 18, 1994

    Report

    Report Number
    32768-1994-00009
    Event Type
    Other
    Date Received
    May 18, 1994
    Date of Event
    May 4, 1994
    Report Date
    May 5, 1994
    Manufacturer
    ZIMMER, INC.
    Product Code
    JDD
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    BROKEN FEMORAL STEM. FRACTURE AT THE JUNCTION OF FEMORAL ALLOGRAPH AND FEMUR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER, INC. Implant LONG STEM, MED 300MM PRECOAT JDD ZIMMER, INC. 65091300

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Other