BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN J & J TC III KNEE

    MDR report key: 602176 · Received May 13, 2005

    Report

    Report Number
    1818910-2005-00699
    Event Type
    Injury
    Date Received
    May 13, 2005
    Report Date
    May 10, 2005
    Manufacturer
    DEPUY-RAYNHAM, A DIV OF DEPUY ORTHOPAEDICS, INC.
    Product Code
    HRY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    LEGAL PAPERS STATE PLAINTIFF UNDERWENT A REVISION OF THE LEFT KNEE DUE TO FAILURE OF THE ARTHROPLASTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN J & J TC III KNEE TOTAL KNEE REPLACEMENT HRY DEPUY-RAYNHAM, A DIV OF DEPUY ORTHOPAEDICS, INC. NA Z240

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Required Intervention