FDA Adverse Event
Injury
Summary report: N
ZIMMER M/L TAPER FEMORAL STEM
MDR report key: 3894011
·
Received June 10, 2014
Report
- Report Number
- 1822565-2014-00715
- Event Type
- Injury
- Date Received
- June 10, 2014
- Report Date
- June 27, 2013
- Manufacturer
- ZIMMER INC
- Product Code
- MEH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- 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 IS REPORTED THE PATIENT IS EXPERIENCING PAIN AND BURSITIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 343408 | ZIMMER M/L TAPER FEMORAL STEM | MEH | ZIMMER INC | 61418596 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |