BEUDAMED
    FDA Adverse Event Injury Summary report: N

    78/74 A/P F FEMORAL

    MDR report key: 260735 · Received February 3, 2000

    Report

    Report Number
    1818910-1999-20000
    Event Type
    Injury
    Date Received
    February 3, 2000
    Date of Event
    November 17, 1999
    Report Date
    February 3, 2000
    Manufacturer
    DEPUY ORTHOPAEDICS, INC. / DIV OF DEPUY ORTHOPAEDICS, INC.
    Product Code
    HSA
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    RISK MANAGER

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 78/74 A/P F FEMORAL TOTAL KNEE PROSTHESIS HSA DEPUY ORTHOPAEDICS, INC. / DIV OF DEPUY ORTHOPAEDICS, INC. NA 837DF

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention