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(b)(4).D10 - concomitant devices - orthopedic salvage system cemented im stem 17mm x 90mm catalog #: 150364 lot #: 65790717, orthopedic salvage system modular tibial baseplate 67mm catalog #: 150421 lot #: 66702470, orthopedic salvage system tibial sleeve augment small catalog #: 161045 lot #: 67087297, orthopedic salvage system cemented im stem 12mm x 90mm catalog #: 150361 lot #: 65752927, orthopedic salvage system reinforced yoke catalog #: 150493 lot #: 67606806, orthopedic salvage system axle catalog #: 150480 lot #: 67606790, orthopedic salvage system poly lock pin catalog #: 150478 lot #: 67538553, orthopedic salvage system poly femoral bushings 2pk catalog #: 150477 lot #: 66521551, orthopedic salvage system poly tibial bushing catalog #: 150476 lot #: 67526913, orthopedic salvage system tibial poly bearing 16mm catalog #: 150412 lot #: 67549312, trabecular metal diaphyseal cone 30 small right catalog #: 00545001731 lot #: 66481205
g2: foreign - event occurred in australia
h6 - component code - proposed code is mechanical (g04) - femur
the device will not be returned for analysis; however, an investigation of the reported event is in progress.Once the investigation is completed, a supplemental medwatch 3500a will be submitted.
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