SIDUS HUMERAL HEAD EXTREMITIES IMPL WIN GEN N/A UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2020-03-28 for SIDUS HUMERAL HEAD EXTREMITIES IMPL WIN GEN N/A UNKNOWN manufactured by Zimmer Gmbh.

MAUDE Entry Details

Report Number0009613350-2020-00153
MDR Report Key9892507
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2020-03-28
Date of Report2020-03-27
Date of Event2019-10-09
Date Mfgr Received2019-10-11
Date Added to Maude2020-03-28
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. CHRISTINA ARNT
Manufacturer Street56 E. BELL DR.
Manufacturer CityWARSAW IN 46582
Manufacturer CountryUS
Manufacturer Postal46582
Manufacturer Phone5745273773
Manufacturer G1ZIMMER GMBH
Manufacturer StreetSULZER ALLEE 8 SULZER INDUSTRIE PARK
Manufacturer CityWINTERTHUR 8404
Manufacturer CountrySZ
Manufacturer Postal Code8404
Single Use3
Previous Use Code3
Removal Correction NumberN/A
Event Type3
Type of Report3

Device Details

Brand NameSIDUS HUMERAL HEAD EXTREMITIES IMPL WIN GEN
Generic NameSIDUS HUMERAL HEAD
Product CodeKWS
Date Received2020-03-28
Model NumberN/A
Catalog NumberUNKNOWN
Lot NumberUNKNOWN
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerZIMMER GMBH
Manufacturer AddressSULZER ALLEE 8 SULZER INDUSTRIE PARK WINTERTHUR 8404 SZ 8404


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2020-03-28

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