BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER

    MDR report key: 217003 · Received March 29, 1999

    Report

    Report Number
    1822565-1999-00031
    Event Type
    Injury
    Date Received
    March 29, 1999
    Date of Event
    August 14, 1998
    Manufacturer
    ZIMMER, INC.
    Product Code
    KWY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    TWO YEARS AND 7 MONTHS POST-OP DEVICE LOOSENED REQUIRING REVISON SURGERY TO REMOVE AND REPLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER Implant CENTRALIGN 2.5 FEM STEM KWY ZIMMER, INC. NA 71750900

    Patients

    Seq Age Sex Outcome Treatment
    1