BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN LPS ARTICULAR SURFACE

    MDR report key: 1940905 · Received December 23, 2010

    Report

    Report Number
    1822565-2010-01452
    Event Type
    Injury
    Date Received
    December 23, 2010
    Report Date
    November 30, 2010
    Manufacturer
    ZIMMER INC
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    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 HAD ARTHROSCOPIC SURGERY TO REMOVE THE POLYETHYLENE POST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN LPS ARTICULAR SURFACE KNEE PROSTHESIS JWH ZIMMER INC 60403929

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention