BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER TRABECULAR METAL GLENOSPHERE

    MDR report key: 2524993 · Received April 5, 2012

    Report

    Report Number
    1822565-2012-00706
    Event Type
    Injury
    Date Received
    April 5, 2012
    Report Date
    March 7, 2012
    Manufacturer
    ZIMMER, INC.
    Product Code
    HSD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    PHYSICIAN

    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 WAS REVISED DUE TO A DETACHMENT OF THE GLENOSPHERE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER TRABECULAR METAL GLENOSPHERE HSD ZIMMER, INC. 61792744

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention