Brand Name | UNKNOWN MILLER-GALANTE UNI TIBIAL COMPONENT |
Type of Device | KNEE PROSTHESIS |
Manufacturer (Section D) |
ZIMMER, INC. |
po box 708 |
warsaw IN 46581 070 |
|
Manufacturer Contact |
kevin
escapule
|
po box 708 |
warsaw, IN 46581-0708
|
8006136131
|
|
MDR Report Key | 4955887 |
MDR Text Key | 6192119 |
Report Number | 1822565-2015-01354 |
Device Sequence Number | 1 |
Product Code |
HSX
|
Combination Product (y/n) | N |
Reporter Country Code | FR |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
Foreign,Literature,Health Professional,Company Representative |
Reporter Occupation |
Physician
|
Type of Report
| Initial |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 07/29/2015 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 06/29/2015 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Is the Device Single Use? |
Yes
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
|
|