MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,study report with the FDA on 2019-02-14 for NSTRIDE APS KIT WITH ACD-A N/A 800-3000ST manufactured by Zimmer Biomet, Inc..
[136124436]
(b)(4), the investigation is in process. Once the investigation has been completed, a follow-up mdr will be submitted.
Patient Sequence No: 1, Text Type: N, H10
[136124437]
Patient received an injection in their right knee. The patient was hospitalized approximately 7 days later for an infection of the right knee and treated with antibiotics and synovectomy of the knee.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0001825034-2019-00609 |
| MDR Report Key | 8338859 |
| Report Source | FOREIGN,STUDY |
| Date Received | 2019-02-14 |
| Date of Report | 2019-05-15 |
| Date of Event | 2018-12-12 |
| Date Mfgr Received | 2019-05-06 |
| Device Manufacturer Date | 2017-10-19 |
| Date Added to Maude | 2019-02-14 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MS. CHRISTINA ARNT |
| Manufacturer Street | 56 E. BELL DR. |
| Manufacturer City | WARSAW IN 46582 |
| Manufacturer Country | US |
| Manufacturer Postal | 46582 |
| Manufacturer Phone | 5745273773 |
| Manufacturer G1 | ZIMMER BIOMET, INC. |
| Manufacturer Street | 56 E. BELL DRIVE |
| Manufacturer City | WARSAW IN 46582 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 46582 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Removal Correction Number | N/A |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | NSTRIDE APS KIT WITH ACD-A |
| Generic Name | HAEMATOLOGICAL CONCENTRATE SYSTEM |
| Product Code | PZT |
| Date Received | 2019-02-14 |
| Model Number | N/A |
| Catalog Number | 800-3000ST |
| Lot Number | 702061 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Age | DA |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ZIMMER BIOMET, INC. |
| Manufacturer Address | 56 E. BELL DRIVE WARSAW IN 46582 US 46582 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-02-14 |