BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SEG TM COLLAR

    MDR report key: 2320571 · Received October 26, 2011

    Report

    Report Number
    3005751028-2011-00066
    Event Type
    Injury
    Date Received
    October 26, 2011
    Date of Event
    July 11, 2010
    Report Date
    October 26, 2011
    Manufacturer
    ZIMMER TRABECULAR METAL TECHNOLOGY
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PT'S WOUND WOULD NOT HEAL, HE EXPERIENCED PAIN AND HAD DIFFICULTY WITH LIMITED MOTION AND AMBULATION. THE PT WAS DIAGNOSED WITH INFECTION, AND THE IMPLANTS WERE REVIEW TO CORRECT THE CONDITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEG TM COLLAR TM COLLAR JWH ZIMMER TRABECULAR METAL TECHNOLOGY 61432154

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Required Intervention