BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNI-KNEE TIBIAL INSERT 13 MM SIZE 3/4

    MDR report key: 49958 · Received November 20, 1996

    Report

    Report Number
    2935620-1996-00012
    Event Type
    Injury
    Date Received
    November 20, 1996
    Date of Event
    October 7, 1996
    Report Date
    November 19, 1996
    Manufacturer
    INTERMEDIC ORTHOPEDICS, INC.
    Product Code
    HSH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    NOTICED OF REVISION SURGERY TO MFR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNI-KNEE TIBIAL INSERT 13 MM SIZE 3/4 Implant KNEE IMPLANT PROSTHESIS HSH INTERMEDIC ORTHOPEDICS, INC. NA 19594

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention 6100-00-050| 6100-00-140