BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN LPS-MOBILE MIS TIBIAL COMPONENT

    MDR report key: 2023528 · Received March 16, 2011

    Report

    Report Number
    1822565-2011-00643
    Event Type
    Injury
    Date Received
    March 16, 2011
    Date of Event
    February 14, 2011
    Report Date
    February 17, 2011
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    PHYSICIAN

    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 WAS REVISED DUE TO LOOSENING OF THE TIBIAL COMPONENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN LPS-MOBILE MIS TIBIAL COMPONENT JWH ZIMMER, INC. 61265399

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention