BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CONTINUUM SHELL WITH CLUSTER HOLES

    MDR report key: 2994417 · Received March 5, 2013

    Report

    Report Number
    1822565-2013-00434
    Event Type
    Injury
    Date Received
    March 5, 2013
    Report Date
    February 5, 2013
    Manufacturer
    ZIMMER, INC.
    Product Code
    LZO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PHYSICIAN

    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 PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    93883 CONTINUUM SHELL WITH CLUSTER HOLES LZO ZIMMER, INC. 61629554

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention MFG BY ZIMMER (B)(4).| BIOLOX DELTA HEAD: CAT# 00877504002, LOT#2363776| LOT# 60113523| ZIMMER M/L FEMORAL STEM: CAT#00771101120,