BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER

    MDR report key: 189222 · Received September 24, 1998

    Report

    Report Number
    189222
    Event Type
    Malfunction
    Date Received
    September 24, 1998
    Date of Event
    September 5, 1998
    Report Date
    September 8, 1998
    Manufacturer
    ZIMMER
    Product Code
    JDQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT READMITTED FOR SURGICAL PROCEDURE TO REMOVE AND REPLACE FRACTURED 8 HOLE PLATE WITH ACCOMPANIED CABLES AND SCREWS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER Implant CABLE GRIP BONE PLATE JDQ ZIMMER * 54179800

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Other