BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NATURAL-KNEE FLEX PROLONG ARTICULAR SURFACE

    MDR report key: 1871074 · Received October 12, 2010

    Report

    Report Number
    1822565-2010-00869
    Event Type
    Injury
    Date Received
    October 12, 2010
    Date of Event
    September 8, 2010
    Report Date
    September 13, 2010
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    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 PT FELL A MONTH OR SO BEFORE SHE WAS REVISED FOR A BROKEN INSERT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NATURAL-KNEE FLEX PROLONG ARTICULAR SURFACE KNEE PROSTHESIS JWH ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention