inforMED
InjuryHTG

NATURAL-KNEE II ALL POLY PATELLA

Received Jul 5, 2012 · Event occurred May 29, 2012

Report 1822565-2012-01441 · MDR key 2650886

Device

Generic name

Knee Prosthesis

Manufacturer

Zimmer, Inc.

Catalog number

630007102

Lot number

1595886

Product problems

  • Detachment Of Device Component
  • Appropriate Device Problem Term/Code Not Available

Patient

82 YR

  • No Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PATELLA WAS REVISED DUE TO WEAR AND LOOSENING. THE SURGEON RELATES THE EVENT TO THE PT'S RUPTURED QUAD AND PATELLA BAHA.

Additional Manufacturer Narrative

INFO WAS RECEIVED FROM A HEALTH PROFESSIONAL WHO IS NOT REQUIRED TO COMPLETE FORM 3500A. THIS REPORT WILL BE AMENDED WHEN OUR INVESTIGATION IS COMPLETE.