BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER

    MDR report key: 211884 · Received February 26, 1999

    Report

    Report Number
    1822565-1999-00008
    Event Type
    Injury
    Date Received
    February 26, 1999
    Date of Event
    January 26, 1998
    Report Date
    January 28, 1999
    Manufacturer
    ZIMMER, INC.
    Product Code
    HTG
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DEVICES WERE IMPLANTED ON 02/03/1996. FOLLOWING PERSISTENT PAIN AND SWELLING, KNEE WAS REVISED ON 01/26/1998 WHERE FRAGMENTS OF POLYETHYLENE WERE NOTED TO BE WITHIN THE JOINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER Implant MG II KNEE 10MM PATELLAR HTG ZIMMER, INC. NA 11569900

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Required Intervention