BEUDAMED
    FDA Adverse Event Summary report: N

    GMK PS FEMUR CEMENTED SIZE 2 LEFT

    MDR report key: 3140304 · Received May 24, 2013

    Report

    Report Number
    3006639916-2013-00054
    Date Received
    May 24, 2013
    Date of Event
    April 22, 2013
    Report Date
    May 24, 2013
    Manufacturer
    MEDACTA INTL SA
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    AU
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    FRACTURE OF THE MEDIAL FEMUR CONDYLE DETECTED 1 WEEK POST SURGERY. REF MFR REPORT# 3005180920-2013-00054.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    231140 GMK PS FEMUR CEMENTED SIZE 2 LEFT KNEE FEMUR COMPONENT JWH MEDACTA INTL SA 124192

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention