BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DUROM

    MDR report key: 2971336 · Received July 19, 2007

    Report

    Report Number
    9613350-2007-00027
    Event Type
    Injury
    Date Received
    July 19, 2007
    Date of Event
    June 22, 2007
    Report Date
    July 16, 2007
    Manufacturer
    ZIMMER GMBH
    Product Code
    KWA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NO BONE ON-GROWTH. LUXATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DUROM CUP KWA ZIMMER GMBH 2209802/14

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Hospitalization