BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN LPS-MOBILE ARTICULAR SURFACE

    MDR report key: 1895481 · Received November 4, 2010

    Report

    Report Number
    1822565-2010-01081
    Event Type
    Injury
    Date Received
    November 4, 2010
    Date of Event
    September 8, 2010
    Report Date
    October 4, 2010
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, 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 WAS REVISED FOR POLY WEAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN LPS-MOBILE ARTICULAR SURFACE KNEE PROSTHESIS JWH ZIMMER, INC. 61035568

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention