FDA Adverse Event Injury Summary report: N

PERSONA NATURAL TIBIA

MDR report key: 3080269 · Received April 24, 2013

Report

Report Number
1822565-2013-00691
Event Type
Injury
Date Received
April 24, 2013
Report Date
March 27, 2013
Manufacturer
ZIMMER, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

IT WAS REPORTED THAT 4-WEEK POST-OPERATIVE X-RAYS SHOW RADIOLUCENCY ABOUT THE POSTERIOR ASPECT OF THE TIBIAL IMPLANT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
177139 PERSONA NATURAL TIBIA JWH ZIMMER, INC. 62230980

Patients

Seq Age Sex Outcome Treatment
1 Other