BEUDAMED
    FDA Adverse Event Injury Summary report: N

    POR STM TIB B/P LT SZ3 NK II

    MDR report key: 424071 · Received October 25, 2002

    Report

    Report Number
    2935620-2002-00343
    Event Type
    Injury
    Date Received
    October 25, 2002
    Date of Event
    October 2, 2002
    Report Date
    October 4, 2002
    Manufacturer
    CENTERPULSE ORTHOPICS, INC.
    Product Code
    HSH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS REVISED IN 02.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POR STM TIB B/P LT SZ3 NK II KNEE PROSTHESIS HSH CENTERPULSE ORTHOPICS, INC. NA 1447507

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization| R