BEUDAMED
    FDA Adverse Event Injury Summary report: N

    TM GLENOID 52MM

    MDR report key: 3124031 · Received May 15, 2013

    Report

    Report Number
    3005751028-2013-00030
    Event Type
    Injury
    Date Received
    May 15, 2013
    Date of Event
    April 8, 2013
    Report Date
    May 15, 2013
    Manufacturer
    ZIMMER TMT
    Product Code
    KWS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    INVESTIGATION IN PROCESS.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PT REC'D A TM GLENOID ON (B)(6) 2011. ON (B)(6 )2013, THE PT WAS REVISED WITH ANOTHER DEVICE DUE TO BREAKAGE OF THE IMPLANT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    214564 TM GLENOID 52MM TM GLENOID KWS ZIMMER TMT 61826545

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention