BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZIMMER ANATOMIC II HIP PROSTHESIS FEMORAL STEM

    MDR report key: 732252 · Received July 5, 2006

    Report

    Report Number
    1822565-2006-00157
    Event Type
    Injury
    Date Received
    July 5, 2006
    Report Date
    May 10, 2006
    Manufacturer
    ZIMMER, INC.
    Product Code
    JDG
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    EVALUATION SUMMARY: PROBABLE CAUSE IS UNK. DEVICE AND X-RAYS WERE NOT RETURNED FOR REVIEW. NO CATALOG NUMBER OR LOT NUMBER WAS PROVIDED; THEREFORE, MANUFACTURING RECORDS COULD NOT BE REVIEWED.

    Description of Event or Problem · 1

    IT IS RPEORTED THAT THE DEVICE WAS IMPLANTED IN 2004. THE LENGTH OF THE LEG WAS INCREASED TOO MUCH. THE PT'S FEMUR FRACTURED AND REVISION WAS REQ. EXPLANT DATE IS UNK

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER ANATOMIC II HIP PROSTHESIS FEMORAL STEM HIP PROSTHESIS JDG ZIMMER, INC. * UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Hospitalization| R