BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK ROTATING HINGE KNEE IMPLANT

    MDR report key: 4252937 · Received November 12, 2014

    Report

    Report Number
    1822565-2014-01567
    Event Type
    Injury
    Date Received
    November 12, 2014
    Report Date
    October 14, 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 BY THE PT'S COUNSEL THAT THE PT IS ALLEGING HARM CAUSED BY THE DEVICE; HOWEVER, THE NATURE OF THE HARM IS UNK AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    729564 UNK ROTATING HINGE KNEE IMPLANT KNEE PROSTHESIS JWH ZIMMER, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 Other