BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFENET

    MDR report key: 503358 · Received December 17, 2003

    Report

    Report Number
    MW1030589
    Event Type
    Injury
    Date Received
    December 17, 2003
    Date of Event
    October 31, 2003
    Report Date
    December 17, 2003
    Manufacturer
    LIFENET
    Product Code
    LMO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT ADMITTED FOR ARTHROSCOPIC REPAIR OF RIGHT KNEE WITH ALLOGRAFT IMPLANT. RE-ADMITTED THE FOLLOWING MONTH FOR RIGHT KNEE INFECTION WITH CHILLS AND KNEE SWELLING. TAKEN BACK TO SURGERY 3 MORE TIMES FOR IRRIGATION AND DEBRIDEMENT. RECEIVED LONG-TERM IV ANTIBIOTIC THERAPY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFENET FPOST. TIBIAL ALLOGRAFT LMO LIFENET 03-1334-005 *

    Patients

    Seq Age Sex Outcome Treatment
    1 36 YR Hospitalization| O