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