BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NKII DURASUL CONG TIB INS SZ 1/2, RT, 9MM

    MDR report key: 516141 · Received March 17, 2004

    Report

    Report Number
    2935620-2004-00025
    Event Type
    Injury
    Date Received
    March 17, 2004
    Date of Event
    October 13, 2003
    Report Date
    March 17, 2004
    Manufacturer
    CENTERPULSE ORTHOPEDICS, INC.
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS REVISED IN 2003.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NKII DURASUL CONG TIB INS SZ 1/2, RT, 9MM KNEE PROSTHESIS JWH CENTERPULSE ORTHOPEDICS, INC. NA 1502426

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization