BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FOUNDATION KNEE P S TIBIAL INSERT

    MDR report key: 299750 · Received October 12, 2000

    Report

    Report Number
    1644408-2000-00007
    Event Type
    Injury
    Date Received
    October 12, 2000
    Date of Event
    September 1, 2000
    Report Date
    October 9, 2000
    Manufacturer
    ENCORE ORTHOPEDICS, INC.
    Product Code
    HRY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REVISION "TKR" 4 YEARS POST-OP DUE TO FRACTURE OF POSTERIOR STABILIZED TIBIAL POST. PT WAS LIFTING WEIGHTS. SQUATTED, AND FELT "POP". ARTHROSCOPIC SURGERY NOTED POST FRACTURE. REVISION SURGERY DATE UNKNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FOUNDATION KNEE P S TIBIAL INSERT POSTERIOR-STABILIZED TIBIAL INSERT HRY ENCORE ORTHOPEDICS, INC. * 90741

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention