BEUDAMED
    FDA Adverse Event Death Summary report: N

    ZIMMER

    MDR report key: 184661 · Received August 26, 1998

    Report

    Report Number
    1822565-1998-00102
    Event Type
    Death
    Date Received
    August 26, 1998
    Date of Event
    July 14, 1998
    Report Date
    July 31, 1998
    Manufacturer
    ZIMMER, INC.
    Product Code
    LOD
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    DURING A FEMORAL HEAD REPLACEMENT SURGERY, BONE CEMENT WAS APPLIED. BEFORE SUTURING TISSUE AND AFTER POLYMERIZATION, PT'S PULSE AND BLOOD PRESSURE DROPPED SUDDENLY. PT WAS RECOVERED MOMENTARILY BY CARDIO PULMONARY RESUSCITATION BUT EVENTUALLY DIED OF CARDIOGENIC SHOCK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER Implant LVC BONE CEMENT SGL 80/40/KIT LOD ZIMMER, INC. NA 53787800

    Patients

    Seq Age Sex Outcome Treatment
    1 97 YR Death