FDA Adverse Event
Injury
Summary report: N
DEPUY CEMENT 40G X 2
MDR report key: 2993183
·
Received February 27, 2013
Report
- Report Number
- MW5029213
- Event Type
- Injury
- Date Received
- February 27, 2013
- Date of Event
- January 14, 2013
- Report Date
- February 21, 2013
- Manufacturer
- ORTHOPAEDICS, INC.
- Product Code
- NDN
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MD, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DJD LEFT KNEE: WHILE MIXING THE CEMENT NOTED THE CONSISTENCY WAS NOT NORMAL. SECOND TIME IN SAME DAY (DIFFERENT CASES) THAT CEMENT DID NOT PERFORM AS EXPECTED. CEMENT EVENTUALLY HARDENED. PROLONGED ANESTHESIA TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 84081 | DEPUY CEMENT 40G X 2 | DEPUY VISCOSITY ANTIBIOTIC BONE CEMENT | NDN | ORTHOPAEDICS, INC. | 3480149 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 54 YR | Required Intervention |