BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LCS ROT PLAT BEARINGS GP

    MDR report key: 691523 · Received March 23, 2006

    Report

    Report Number
    1818910-2006-00773
    Event Type
    Injury
    Date Received
    March 23, 2006
    Date of Event
    February 26, 2006
    Report Date
    February 26, 2006
    Manufacturer
    DEPUY ORTHOPAEDICS, INC.
    Product Code
    HRY
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS REVISED DUE TO SUBSIDENCE OF HTE TIBIAL TRAY. MINIMAL POLY WEAR WAS EVIDENT ON THE INSERT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LCS ROT PLAT BEARINGS GP TOTAL KNEE REPLACEMENT HRY DEPUY ORTHOPAEDICS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Required Intervention