BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 241622 · Received September 20, 1999

    Report

    Report Number
    241622
    Event Type
    Injury
    Date Received
    September 20, 1999
    Date of Event
    August 25, 1999
    Report Date
    September 17, 1999
    Manufacturer
    UNK
    Product Code
    JEH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    "THE MEDIAL PLATEAU PORTION WAS FOUND TO BE CRACKED AND BROKEN ALONG THE MEDICAL ANTERIOR LIMB OF THE COMPONENT PART."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK Implant TIBIAL FEMORAL COMPONENT/SCREWS JEH UNK UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Hospitalization| O| R