FDA Adverse Event Injury Summary report: N

NEXTEN LPS-FLEX ARTICULAR SURFACE

MDR report key: 3213815 · Received July 3, 2013

Report

Report Number
1822565-2013-01070
Event Type
Injury
Date Received
July 3, 2013
Date of Event
May 13, 2013
Report Date
June 5, 2013
Manufacturer
ZIMMER, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

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 THE PT'S KNEE WAS REVISED DUE TO LOOSENING OF THE ARTICULAR SURFACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303648 NEXTEN LPS-FLEX ARTICULAR SURFACE JWH ZIMMER, INC. 61552040

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention