FDA Adverse Event Injury Summary report: N

NEXGEN LPS-FLEX GSF FEMORAL COMPONENT

MDR report key: 3954900 · Received July 16, 2014

Report

Report Number
1822565-2014-00875
Event Type
Injury
Date Received
July 16, 2014
Report Date
June 20, 2014
Manufacturer
ZIMMER, INC.
Product Code
JWH
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

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 PT IS EXPERIENCING KNEE PAIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
416318 NEXGEN LPS-FLEX GSF FEMORAL COMPONENT JWH ZIMMER, INC. 61023625

Patients

Seq Age Sex Outcome Treatment
1 Other