BEUDAMED
    FDA Adverse Event Other Summary report: N

    CR CEMENTED 3 PCG PATELLA

    MDR report key: 638800 · Received September 30, 2005

    Report

    Report Number
    1038671-2005-00047
    Event Type
    Other
    Date Received
    September 30, 2005
    Date of Event
    July 14, 2005
    Report Date
    September 30, 2005
    Manufacturer
    EXACTECH
    Product Code
    JWH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    HOSPITAL REPORTED "THIS PATIENT HAD A LEFT TOTAL KNEE ARTHROPLASTY IN SEPTEMBER 2002. THEY HAVE CONTINUED TO HAVE PROBLEMS WITH STABILITY AND BALANCE AND HAVE BEEN USING A BRACE." IMPLANTS WERE NOT INDICATED AS CAUSE OF INSTABILITY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CR CEMENTED 3 PCG PATELLA PATELLA COMPONENT JWH EXACTECH * *

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Hospitalization| R