BEUDAMED
    FDA Adverse Event Injury Summary report: N

    GENDER SOLUTIONS NATURAL KNEE ART SURFACE

    MDR report key: 2082918 · Received May 3, 2011

    Report

    Report Number
    1822565-2011-01095
    Event Type
    Injury
    Date Received
    May 3, 2011
    Report Date
    April 5, 2011
    Manufacturer
    ZIMMER INC
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE PATIENT IS EXPERIENCING PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GENDER SOLUTIONS NATURAL KNEE ART SURFACE MNH JWH ZIMMER INC 60964471

    Patients

    Seq Age Sex Outcome Treatment
    1 Other GENDER SOLUTIONS NATURAL-KNEE FLEX SYSTEM GENDER| LOT # 61103144| SOLUTIONS FEMORAL COMPONENT, CATALOG #00541201702| GENDER SOLUTIONS NATURAL-KNEE FLEX SYSTEM PATELLA| NATURAL-KNEE SYSTEM STEMMED TIBIAL BASEPLATE:| CATALOG # 621201230, LOT # 61168765| COMPONENT: CATALOG #00541800001, LOT # 61086329