BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COONRAD/MORREY TOTAL ELBOW REPLACEMENT SET BUSHINGS & PINS

    MDR report key: 318316 · Received March 1, 2001

    Report

    Report Number
    1822565-2001-00020
    Event Type
    Injury
    Date Received
    March 1, 2001
    Date of Event
    January 22, 2001
    Report Date
    February 1, 2001
    Manufacturer
    ZIMMER, INC.
    Product Code
    JDC
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    LESS THAN ONE YEAR POST OP, X RAYS REVEALED THE LOCKING PIN HAD DISASSEMBLED, REQUIRING REMOVAL.

    Description of Event or Problem · 1

    LESS THAN ONE YEAR POST OP, X RAYS REVEALED THE LOCKING PIN HAD DISASSEMBLED, REQUIRING REMOVAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    8867 COONRAD/MORREY TOTAL ELBOW REPLACEMENT SET BUSHINGS & PINS ELBOW PROSTHESIS JDC ZIMMER, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention