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