BEUDAMED
    FDA Adverse Event Injury Summary report: N

    1222933-1999-00002

    MDR report key: 256939 · Received December 28, 1999

    Report

    Report Number
    1222933-1999-00002
    Event Type
    Injury
    Date Received
    December 28, 1999
    Date of Event
    November 12, 1999
    Report Date
    December 3, 1999
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PT UNDERWENT "ACL" SURGERY IN 1999. FIVE WEEKS POST-OPERATIVELY THE PT COMPLAINED OF LATERAL FEMORAL PAIN. X-RAYS REVEALED THAT THE CROSS PIN, THE DEVICE USED TO ATTACH A SOFT TISSUE GRAFT TO THE BONE, WAS NOT FLUSH WITH THE BONE. THE SURGEON PERFORMED A SECOND PROCEDURE TO REINSERT THE CROSS PIN.

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention