FDA Adverse Event Other Summary report: N

UNK

MDR report key: 2011825 · Received February 24, 2011

Report

Report Number
1644408-2011-00094
Event Type
Other
Date Received
February 24, 2011
Date of Event
February 8, 2011
Report Date
February 8, 2011
Manufacturer
ENCORE MEDICAL, L.P.
Product Code
JDI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

REVISION SURGERY - THE DETAILS ARE UNK AT THIS TIME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK UNK JDI ENCORE MEDICAL, L.P. UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention