BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN PRODUCT

    MDR report key: 1759178 · Received July 13, 2010

    Report

    Report Number
    2249697-2010-00837
    Event Type
    Injury
    Date Received
    July 13, 2010
    Date of Event
    May 14, 2010
    Report Date
    June 17, 2010
    Manufacturer
    STRYKER ORTHOPAEDICS MAHWAH
    Product Code
    JWH
    PMA / PMN Number
    UNK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    ADDITIONAL INFORMATION HAS BEEN REQUESTED AND IF AVAILABLE, IT WILL BE SUBMITTED IN THE SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    SITE INDICATED: "(B) (6)2008: S/P ARTHROTOMY AND BX R KNEE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN PRODUCT IMPLANT JWH STRYKER ORTHOPAEDICS MAHWAH NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention