BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE-POSTERIOR

    MDR report key: 702687 · Received April 21, 2006

    Report

    Report Number
    1822565-2006-00101
    Event Type
    Injury
    Date Received
    April 21, 2006
    Date of Event
    February 23, 2006
    Report Date
    March 18, 2006
    Manufacturer
    ZIMMER, INC.
    Product Code
    JWH
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE DEVICE WAS IMPLANTED IN 2004. THE PATIENT HAD SYNOVITIS AND WAS REVISED ON FEB 23 2006.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NEXGEN COMPLETE KNEE SOLUTION LEGACY KNEE-POSTERIOR KNEE PROSTHESIS JWH ZIMMER, INC. NA 60216752

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization| R