BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WRIGHT MEDICAL

    MDR report key: 53519 · Received November 21, 1996

    Report

    Report Number
    53519
    Event Type
    Injury
    Date Received
    November 21, 1996
    Date of Event
    October 22, 1996
    Report Date
    October 29, 1996
    Manufacturer
    WRIGHT MEDICAL
    Product Code
    JWH
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    LEFT TOTAL KNEE DONE 8/27/96, AT WITH A DEVICE PROTHESIS. TIBIAL PART HAD DISPLACED-JOULED COMPONENT. REV LTK 10/22/96. PT STABILIZED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WRIGHT MEDICAL Implant PROSTHESIS JWH WRIGHT MEDICAL WRIGHT MEDICAL *

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR Other| R