BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY MITEK

    MDR report key: 2465582 · Received February 17, 2012

    Report

    Report Number
    MW5024291
    Event Type
    Injury
    Date Received
    February 17, 2012
    Date of Event
    July 16, 2011
    Report Date
    February 12, 2012
    Manufacturer
    DEPUY MITEK, INC.
    Product Code
    MAI
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AREA OF GROOVING ON FEMORAL CONDYLE AND A CORRESPONDING AREA ON THE TIBIAL SIDE. INFLAMMATION AND SYNOVIUM PROLONGED PAIN AND DYSFUNCTION IN KNEE JOINT. REASON FOR USE: MENISCAL REPAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY MITEK RAPID LOC MENISCAL REPAIR-PLA TOPHAT/27 DEGREES MAI DEPUY MITEK, INC. 0702211

    Patients

    Seq Age Sex Outcome Treatment
    1 31 YR Required Intervention| S