BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN J & J KNEE

    MDR report key: 591289 · Received April 14, 2005

    Report

    Report Number
    1818910-2005-00483
    Event Type
    Injury
    Date Received
    April 14, 2005
    Date of Event
    November 4, 2002
    Report Date
    April 12, 2005
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    KYK
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    LEGAL PAPERS STATE PLAINTIFF WAS REVISED DUE TO ALLEGED PREMATURE DETERLORATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN J & J KNEE TOTAL KNEE REPLACEMENT KYK DEPUY ORTHOPAEDICS, INC. NA 643EE

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention