FDA Adverse Event
Injury
Summary report: N
SUBCONDROPLASTY
MDR report key: 7027545
·
Received November 14, 2017
Report
- Report Number
- 3008812173-2017-00025
- Event Type
- Injury
- Date Received
- November 14, 2017
- Date of Event
- October 5, 2017
- Report Date
- January 8, 2018
- Manufacturer
- ZIMMER KNEE CREATIONS, INC.
- Product Code
- OJH
- PMA / PMN Number
- PN/A
- Removal / Correction Number
- N/A
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ON JANUARY 3RD, AN UPDATED ADVERSE EVENT REPORT WAS RECEIVED STATING THAT THE ADVERSE EVENT WAS NOT RELATED TO THE PROCEDURE. THEREFORE THE EVENT IS NO LONGER CLASSIFIED AS A SERIOUS INJURY OR REPORTABLE EVENT.
Description of Event or Problem · 1
PATIENT RECV'D TKA AFTER SCP.
Description of Event or Problem · 1
PATIENT RECVD TKA AFTER SCP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 808278 | SUBCONDROPLASTY | SUBCONDROPLASTY | OJH | ZIMMER KNEE CREATIONS, INC. | N/A | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 60 YR |