Brand Name | BODYCAD UNICOMPARTMENTAL KNEE SYSTEM |
Type of Device | UNICOMPARTMENTAL KNEE |
Manufacturer (Section D) |
BODYCAD LABORATORIES INC. |
2035 rue du haut-bord |
quebec, G1N4R 7 |
CA G1N4R7 |
|
Manufacturer (Section G) |
BODYCAD LABORATORIES INC. |
2035 rue du haut bord |
|
quebec, G1N4R 7 |
CA
G1N4R7
|
|
Manufacturer Contact |
guy
sevigny
|
2035 rue du haut bord |
quebec, quebec G1N4R-7
|
CA
G1N4R7
|
|
MDR Report Key | 8682811 |
MDR Text Key | 147461408 |
Report Number | 3012086398-2019-00001 |
Device Sequence Number | 1 |
Product Code |
HSX
|
Combination Product (y/n) | N |
Reporter Country Code | US |
PMA/PMN Number | K181302 |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
company representative,health |
Reporter Occupation |
Physician
|
Remedial Action |
Other |
Type of Report
| Initial |
Report Date |
06/07/2019 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 06/10/2019 |
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Device Operator |
Health Professional
|
Device Catalogue Number | 010-003 |
Was Device Available for Evaluation? |
No
|
Is the Reporter a Health Professional? |
Yes
|
Date Manufacturer Received | 05/23/2019 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 03/04/2019 |
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) |
Hospitalization;
Required Intervention;
|
Patient Age | 51 YR |
Patient Weight | 98 |