BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ZIMMER

    MDR report key: 2213795 · Received February 18, 2008

    Report

    Report Number
    MW5021745
    Event Type
    Malfunction
    Date Received
    February 18, 2008
    Date of Event
    February 13, 2008
    Report Date
    February 18, 2008
    Manufacturer
    ZIMMER MANUFACTURING
    Product Code
    HSX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    S/P UNICOMPARTMENTAL REPLACEMENT OF MEDIAL COMPARTMENT OF RIGHT KNEE IN 2004 WITH OSH. ADMISSION FOR REVISION FOR COMPLAINT OF PAIN. WAS FOUND TO BE "BROKEN" WHEN REMOVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER UNICOMPARTMENTAL KNEE POLY HSX ZIMMER MANUFACTURING KNEEPOLY-UNSURE

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Other