Brand Name | ROSA KNEE PLATFORM US PL B |
Type of Device | ORTHOPEDIC STEREOTAXIC INSTRUMENT |
Manufacturer (Section D) |
ZIMMER CAS |
75 queen str. |
suite 3300 |
montreal, quebec H3C 2 N6 |
CA H3C 2N6 |
|
Manufacturer (Section G) |
ZIMMER CAS |
75 queen str. |
suite 3300 |
montreal, quebec H3C 2 N6 |
CA
H3C 2N6
|
|
Manufacturer Contact |
kristen
lashley
|
56 e. bell dr. |
warsaw, IN 46582
|
9016334069
|
|
MDR Report Key | 18041575 |
MDR Text Key | 326991264 |
Report Number | 0009617840-2023-00017 |
Device Sequence Number | 1 |
Product Code |
OLO
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K210121 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Consumer,Company Representative,Distributor |
Reporter Occupation |
Non-Healthcare Professional
|
Type of Report
| Initial |
Report Date |
10/31/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 10/31/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | N/A |
Device Catalogue Number | 20-8020-100-01 |
Device Lot Number | N/A |
Was Device Available for Evaluation? |
No
|
Was the Report Sent to FDA? |
No
|
Date Manufacturer Received | 10/27/2023 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 10/03/2021 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Reuse
|
Removal/Correction Number | NI |
Patient Sequence Number | 1 |