BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER KNEE

    MDR report key: 2003462 · Received February 21, 2011

    Report

    Report Number
    MW5019507
    Event Type
    Injury
    Date Received
    February 21, 2011
    Date of Event
    February 16, 2011
    Report Date
    February 21, 2011
    Manufacturer
    ZIMMER US, INC.
    Product Code
    JWH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    ZIMMER TOTAL KNEE REVISION WAS DONE (B)(6) 2010. A PIECE OF THE COMPONENT LOOKS TO BE DEFECTIVE AND WAS REPLACED (B)(6) 2011. THEY WERE REMOVED BY IMPLANTING SURGEON AS THEY WERE BENT/OR DEFORMED AND THOUGHT THEY WERE DEFECTIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER KNEE RIGHT KNEE REVISION NLN11 JWH ZIMMER US, INC. S00585204030

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Disability