SUBCHONDROPLASTY N/A 414.502

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer,health professional report with the FDA on 2017-09-28 for SUBCHONDROPLASTY N/A 414.502 manufactured by Zimmer Knee Creations, Inc..

Event Text Entries

[87626514] The investigation of this complaint is still in progress. A supplemental medwatch will be completed once results are available.
Patient Sequence No: 1, Text Type: N, H10


[87626515] Tka after receiving scp procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008812173-2017-00022
MDR Report Key6900547
Report SourceCONSUMER,HEALTH PROFESSIONAL
Date Received2017-09-28
Date of Report2017-12-14
Date of Event2017-08-28
Date Mfgr Received2017-08-30
Device Manufacturer Date2017-02-08
Date Added to Maude2017-09-28
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SHARI BAILEY
Manufacturer Street841 SPRINGDALE DRIVE
Manufacturer CityEXTON PA 19341
Manufacturer CountryUS
Manufacturer Postal19341
Manufacturer Phone4848794543
Manufacturer G1ZIMMER KNEE CREATIONS, INC.
Manufacturer Street841 SPRINGDALE DRIVE
Manufacturer CityEXTON PA 19341
Manufacturer CountryUS
Manufacturer Postal Code19341
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameSUBCHONDROPLASTY
Generic NameSCP KIT
Product CodeFGY
Date Received2017-09-28
Model NumberN/A
Catalog Number414.502
Lot NumberKC03908
ID NumberN/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerZIMMER KNEE CREATIONS, INC.
Manufacturer Address841 SPRINGDALE DRIVE EXTON PA 19341 US 19341


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-09-28

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