BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER GENDER SOLUTIONS ARTICULAR SURFACE

    MDR report key: 2003833 · Received February 24, 2011

    Report

    Report Number
    1822565-2011-00400
    Event Type
    Injury
    Date Received
    February 24, 2011
    Date of Event
    June 18, 2010
    Report Date
    January 27, 2011
    Manufacturer
    ZIMMER, INC.
    Product Code
    MBH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    UNKNOWN

    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 UNDERWENT SURGERY TO DRAIN A HEMATOMA AND REPAIR A RETINACULAR TEAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER GENDER SOLUTIONS ARTICULAR SURFACE MBH ZIMMER, INC. 60839751

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Required Intervention