BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER M/L TAPER FEMORAL STEM

    MDR report key: 2153199 · Received June 23, 2011

    Report

    Report Number
    1822565-2011-01488
    Event Type
    Injury
    Date Received
    June 23, 2011
    Report Date
    May 27, 2011
    Manufacturer
    ZIMMER INC.
    Product Code
    LPH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    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 IS EXPERIENCING PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER M/L TAPER FEMORAL STEM LPH ZIMMER INC. 60609694

    Patients

    Seq Age Sex Outcome Treatment
    1