FDA Adverse Event
Injury
Summary report: N
UNKNOWN ZIMMER HIP
MDR report key: 6106782
·
Received November 16, 2016
Report
- Report Number
- 0001822565-2016-04249
- Event Type
- Injury
- Date Received
- November 16, 2016
- Date of Event
- January 1, 2015
- Report Date
- November 16, 2016
- Manufacturer
- ZIMMER, INC.
- Product Code
- KWZ
- PMA / PMN Number
- PN/A
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TH
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
INFORMATION WAS RECEIVED VIA THE ATTACHED JOURNAL ARTICLE. KIATISEVI ET AL. "FUNCTIONAL OUTCOME AND COMPLICATIONS FOLLOWING RECONSTRUCTION FOR HARRINGTON CLASS II AND III PERIACETABULAR METASTASIS" WORLD JOURNAL OF SURGICAL ONCOLOGY 2015, 13:4.
Description of Event or Problem · 1
IT WAS REPORTED IN A JOURNAL ARTICLE THAT THE PATIENT EXPERIENCED AN INFECTION ON AN UNKNOWN DATE. NO FURTHER INFORMATION IS AVAILABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 756010 | UNKNOWN ZIMMER HIP | HIP PROSTHESIS | KWZ | ZIMMER, INC. | N/A | NI |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |