BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK JNJ KNEE

    MDR report key: 516510 · Received March 18, 2004

    Report

    Report Number
    1818910-2004-00242
    Event Type
    Injury
    Date Received
    March 18, 2004
    Date of Event
    November 1, 2002
    Report Date
    February 16, 2004
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    HSH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE LEGAL PAPERS STATE THIS PT WAS IMPLANTED WITH A J&J KNEE APPROX 11 PRIOR TO REVISION OF THE POLY. IN 2002 THE ENTIRE KNEE WAS REVISED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK JNJ KNEE TOTAL KNEE REPLACEMENT HSH DEPUY ORTHOPAEDICS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention