BEUDAMED
    FDA Adverse Event Death Summary report: N

    BONE CEMENT

    MDR report key: 89116 · Received May 7, 1997

    Report

    Report Number
    MW1011265
    Event Type
    Death
    Date Received
    May 7, 1997
    Date of Event
    March 22, 1997
    Report Date
    March 22, 1997
    Manufacturer
    ZIMMER
    Product Code
    LOD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CODE 500 CALLED WHILE PATIENT WAS HAVING BONE CEMENT IMPLANTED. PATIENT WAS RESUSCITATED FOR 39 MINUTES TO NO AVAIL. PRONOUNCED DEAD AT 4:29PM PER ER PHYSICIAN. "STAFF ORTHOPEDIC SURGEON AND (MEDICAL) CORONER DO NOT FEEL THE INCIDENT WAS CEMENT RELATED." "THE PT. DIED FROM COMPLICATIONS RELATED TO THE PROCEDURE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BONE CEMENT Implant BONE CEMENT LOD ZIMMER * 74157700

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Death BIOMET IMPLANTS