BEUDAMED
    FDA Adverse Event Death Summary report: N

    UNK DEPUY 1 BONE CEMENT

    MDR report key: 309016 · Received December 19, 2000

    Report

    Report Number
    1818910-2000-00327
    Event Type
    Death
    Date Received
    December 19, 2000
    Date of Event
    July 3, 2000
    Report Date
    December 19, 2000
    Manufacturer
    DEPUY CMW
    Product Code
    LOD
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    CLAIMS THAT THE PT DIED AFTER USING BONE CEMENT. PT DIED A FEW HOURS AFTER SURGERY BECAUSE OF HEART FAILURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK DEPUY 1 BONE CEMENT BONE CEMENT LOD DEPUY CMW NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Death