TIBIAL ARTICULAR SURFACE PROVISIONAL LEFT SIZE EF N/A 42517000505

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2020-03-24 for TIBIAL ARTICULAR SURFACE PROVISIONAL LEFT SIZE EF N/A 42517000505 manufactured by Zimmer Biomet, Inc..

MAUDE Entry Details

• Report Number: 0001822565-2020-01071
• MDR Report Key: 9875272
• Report Source: COMPANY REPRESENTATIVE,DISTRI
• Date Received: 2020-03-24
• Date of Report: 2020-03-24
• Date Mfgr Received: 2020-03-09
• Device Manufacturer Date: 2019-04-27
• Date Added to Maude: 2020-03-24
• 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

Device Details

• Brand Name: TIBIAL ARTICULAR SURFACE PROVISIONAL LEFT SIZE EF
• Generic Name: PROSTHESIS, KNEE
• Product Code: MBH
• Date Received: 2020-03-24
• Returned To Mfg: 2020-03-18
• Model Number: N/A
• Catalog Number: 42517000505
• Lot Number: 64226178
• Operator: HEALTH PROFESSIONAL
• Device Availability: R
• Device Eval'ed by Mfgr: N
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: ZIMMER BIOMET, INC.
• Manufacturer Address: 56 E. BELL DRIVE WARSAW IN 46582 US 46582

Patients

Patient Number	Treatment	Outcome	Date
1	0		2020-03-24