FDA.reportPublic FDA data

MAUDE MDR 9908158

MDR report key
9908158
Report number
0001822565-2020-01203
Event key
0
Event type
3
Date of event
2020-02-11
Date received
2020-03-31
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. CHRISTINA ARNT
Address
56 E. BELL DR. WARSAW IN 46582 US
Phone
574-574-5745
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1FEMORAL COMPONENT OPTION FOR CEMENTED USE ONLY SIZE D LEFTPROSTHESIS, KNEEZIMMER BIOMET, INC.JWHN/A0058800140163614821R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-3101. H; 2. R

Event Narratives#

No narrative records found.