FDA Adverse Event
Injury
Summary report: N
PFV CVD 10MM SZ5
MDR report key: 377682
·
Received February 21, 2002
Report
- Report Number
- 1818910-2002-00095
- Event Type
- Injury
- Date Received
- February 21, 2002
- Report Date
- February 21, 2002
- Manufacturer
- DEPUY-RAYNHAM, A DIVISION OF DEPUY ORTHOPAEDICS, INC.
- Product Code
- JWH
- Removal / Correction Number
- NA
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
THE PT WAS REVISED DUE TO POLY WEAR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PFV CVD 10MM SZ5 | TOTAL KNEE PROSTHESIS | JWH | DEPUY-RAYNHAM, A DIVISION OF DEPUY ORTHOPAEDICS, INC. | NA | 00896A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR |