BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1905782 · Received November 17, 2010

    Report

    Report Number
    3005751028-2010-00045
    Event Type
    Injury
    Date Received
    November 17, 2010
    Report Date
    November 17, 2010
    Manufacturer
    ZIMMER TMT
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    AT THE PRESENT TIME NO ADDITIONAL INFORMATION IS AVAILABLE. SHOULD MORE INFORMATION BE ACQUIRED, THIS REPORT SHALL BE UPDATED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A PT'S TM MONOBLOCK IMPLANT WAS REVISED DUE TO A COMPLAINT OF CORTICAL PAIN. IT IS UNK IF THE IMPLANT WAS A PATELLA OR TIBIA. NO ADDITIONAL INFORMATION IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK UNK JWH ZIMMER TMT UNK

    Patients

    Seq Age Sex Outcome Treatment
    1