BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERSONA CR FEMORAL COMPONENT

    MDR report key: 4112877 · Received September 17, 2014

    Report

    Report Number
    3007963827-2014-00043
    Event Type
    Injury
    Date Received
    September 17, 2014
    Date of Event
    August 19, 2014
    Report Date
    August 19, 2014
    Manufacturer
    ZIMMER ORTHOPEDIC MFG LTD
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    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 WAS NOT ACHIEVING FLEXION GOALS AND UNDERWENT MANIPULATION UNDER ANESTHESIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    576047 PERSONA CR FEMORAL COMPONENT JWH ZIMMER ORTHOPEDIC MFG LTD 62477593

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Other