FDA Adverse Event
Injury
Summary report: N
UNKNOWN ZIMMER KNEE
MDR report key: 2181085
·
Received July 22, 2011
Report
- Report Number
- 1822565-2011-01708
- Event Type
- Injury
- Date Received
- July 22, 2011
- Report Date
- June 23, 2011
- Manufacturer
- ZIMMER, INC.
- Product Code
- JWH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- 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 HEARS A POPPING NOISE WHEN SHE MOVES HER KNEE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN ZIMMER KNEE | KNEE PROSTHESIS | JWH | ZIMMER, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |