BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BLOCKER

    MDR report key: 2903694 · Received January 4, 2013

    Report

    Report Number
    3003853072-2012-00026
    Event Type
    Malfunction
    Date Received
    January 4, 2013
    Report Date
    December 5, 2012
    Manufacturer
    ZIMMER SPINE
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SP
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE BLOCKER LOOSENED POST-OPERATIVELY. NO FURTHER INFO IS AVAILABLE AT THE TIME OF THIS REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    5185 BLOCKER BLOCKER LXH ZIMMER SPINE 046W0AN00002 E60128

    Patients

    Seq Age Sex Outcome Treatment
    1