FDA Adverse Event
Injury
Summary report: N
RET TIB COMP 72WX7.5THK
MDR report key: 197006
·
Received November 9, 1998
Report
- Report Number
- 1822565-1998-00135
- Event Type
- Injury
- Date Received
- November 9, 1998
- Date of Event
- October 6, 1998
- Product Code
- HSH
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
Narratives
Description of Event or Problem · 1
THREE MONTHS PRIOR TO HOSPITALIZATION, PT WAS HAVING INCREASED PAIN. X-RAYS REVEALED A LOOSENED TIBIAL COMPONENT. INTRAOPERATIVELY, THE ENTIRE TOTAL KNEE COMPONENTS WERE FOUND TO BE LOOSENED. THE TOTAL KNEE COMPONENTS WERE REMOVED AND REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | Implant | RET TIB COMP 72WX7.5THK | HSH | NA | 72777700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |