FDA Adverse Event Injury Summary report: N

GMK FIXED PS TIBIAL INSERT SIZE 2 - 14 MM

MDR report key: 3883052 · Received June 4, 2014

Report

Report Number
3005180920-2014-00066
Event Type
Injury
Date Received
June 4, 2014
Manufacturer
MEDACTA INTERNATIONAL, SA
Product Code
JWH
PMA / PMN Number
K090988
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

DOCUMENT REVIEW: GMK PRIMARY PS FIXED TIBIAL INSERT SIZE 2 - 14 MM: REF. 02.07.0214PSF/LOT 102004 ((B)(4). ALL PARAMETERS WERE FOUND TO BE IN ACCORDANCE WITH THE SPECIFICATIONS VALID AT THE TIME OF MANUFACTURING, INCLUDING WASHING AND STERILIZATION PROCEDURES. FROM THE DATA COLLECTED, THERE ARE NO EVIDENCE THAT THE EVENT IS DEVICE RELATED.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
325664 GMK FIXED PS TIBIAL INSERT SIZE 2 - 14 MM PS KNEE TIBIAL INSERT JWH MEDACTA INTERNATIONAL, SA

Patients

Seq Age Sex Outcome Treatment
1