BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NK IDE PATELLA

    MDR report key: 41823 · Received October 10, 1996

    Report

    Report Number
    2935620-1996-00004
    Event Type
    Injury
    Date Received
    October 10, 1996
    Date of Event
    June 11, 1996
    Report Date
    October 9, 1996
    Manufacturer
    INTERMEDICS ORTHOPEDICS, INC.
    Product Code
    HTG
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    NOTICE OF IDE REVISION SURGERY. (IDE STUDY G870035)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NK IDE PATELLA Implant KNEE PROSTHESIS DEVICE HTG INTERMEDICS ORTHOPEDICS, INC. NA 11660-A

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other 6200-02-009,6201-00-030