FDA Adverse Event
Injury
Summary report: N
TOTAL KNEE
MDR report key: 7999892
·
Received October 23, 2018
Report
- Report Number
- MW5080788
- Event Type
- Injury
- Date Received
- October 23, 2018
- Date of Event
- April 24, 2018
- Report Date
- October 22, 2018
- Manufacturer
- AESCULAP IMPLANT SYSTEMS, LLC
- Product Code
- JWH
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NC, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PT HAD TO UNDERGO A REVISION OF THEIR TOTAL KNEE DUE TO EARLY LOOSENING OF A LEFT TOTAL KNEE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 838713 | TOTAL KNEE | PROSTHESIS, KNEE, PATELLOFEMOROTIBIAL, SEMI - CONSTRAINED CEMENTED | JWH | AESCULAP IMPLANT SYSTEMS, LLC | NX058Z |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Required Intervention |