BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN LPS-MOBILE ARTICULAR SURFACE

    MDR report key: 1841542 · Received September 14, 2010

    Report

    Report Number
    1822565-2010-00677
    Event Type
    Injury
    Date Received
    September 14, 2010
    Date of Event
    May 26, 2010
    Report Date
    August 18, 2010
    Manufacturer
    ZIMMER, INC.
    Product Code
    LXH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE PATIENT HAD TO BE REVISED DUE TO THE FRACTURE OF THE ARTICULAR SURFACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN LPS-MOBILE ARTICULAR SURFACE KNEE INSTRUMENT LXH ZIMMER, INC. 60130847

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Required Intervention