BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN ZIMMER HIP

    MDR report key: 2930446 · Received January 23, 2013

    Report

    Report Number
    1822565-2013-00154
    Event Type
    Injury
    Date Received
    January 23, 2013
    Report Date
    December 27, 2012
    Manufacturer
    ZIMMER INC
    Product Code
    KWY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    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 IS EXPERIENCING HIP PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    32531 UNKNOWN ZIMMER HIP HIP PROSTHESIS KWY ZIMMER INC

    Patients

    Seq Age Sex Outcome Treatment
    1 Other