BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN ZIMMER TM ANKLE

    MDR report key: 4223300 · Received October 29, 2014

    Report

    Report Number
    1822565-2014-01490
    Event Type
    Injury
    Date Received
    October 29, 2014
    Report Date
    October 1, 2014
    Manufacturer
    ZIMMER, INC.
    Product Code
    HSN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, 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 IS EXPERIENCING PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    691305 UNKNOWN ZIMMER TM ANKLE ANKLE PROSTHESIS HSN ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other