BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN CR ARTICULATE SURFACE

    MDR report key: 2932493 · Received January 24, 2013

    Report

    Report Number
    1822565-2013-00167
    Event Type
    Injury
    Date Received
    January 24, 2013
    Date of Event
    October 9, 2012
    Report Date
    December 27, 2012
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, 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 PATIENT WAS REVISED DUE TO INSTABILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    34552 NEXGEN CR ARTICULATE SURFACE JWH ZIMMER, INC. 61035093

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Required Intervention