BEUDAMED
    FDA Adverse Event Other Summary report: N

    NATURAL KNEE TIBIA INSERT LEFT SIZE A/7MM

    MDR report key: 65047 · Received January 28, 1997

    Report

    Report Number
    2935620-1997-00001
    Event Type
    Other
    Date Received
    January 28, 1997
    Date of Event
    November 20, 1996
    Report Date
    January 21, 1997
    Manufacturer
    INTERMEDICS ORTHOPEDICS, INC.
    Product Code
    HSH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    NOTICE OF IDE REVISION - G870035.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NATURAL KNEE TIBIA INSERT LEFT SIZE A/7MM Implant KNEE IMPLANT PROSTHESIS HSH INTERMEDICS ORTHOPEDICS, INC. NA 10709

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Hospitalization| O| R 6201-00-030| 6201-00-120| 6201-00-001