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