BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER TM REVERSE SHOULDER GLENOSPHERE

    MDR report key: 3946357 · Received July 10, 2014

    Report

    Report Number
    1822565-2014-00838
    Event Type
    Injury
    Date Received
    July 10, 2014
    Report Date
    June 10, 2014
    Manufacturer
    ZIMMER, INC.
    Product Code
    HSD
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IT
    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 PATIENT IS EXPERIENCING INSTABILITY OF THE GLENOID COMPONENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    403899 ZIMMER TM REVERSE SHOULDER GLENOSPHERE HSD ZIMMER, INC. 62486014

    Patients

    Seq Age Sex Outcome Treatment
    1 Other