BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER CLAMP FOOT

    MDR report key: 3908302 · Received June 13, 2014

    Report

    Report Number
    1822565-2014-00753
    Event Type
    Injury
    Date Received
    June 13, 2014
    Date of Event
    May 12, 2014
    Report Date
    May 15, 2014
    Manufacturer
    ZIMMER, INC.
    Product Code
    HXD
    Adverse Event
    Yes
    Product Problem
    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 IS REPORTED THAT THE O-RING CAME OFF AND REMAINED IN THE PT. A REVISION SURGERY IS PLANNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    350609 ZIMMER CLAMP FOOT HXD ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1