BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PLUS

    MDR report key: 1012574 · Received March 12, 2008

    Report

    Report Number
    9612771-2008-00013
    Event Type
    Injury
    Date Received
    March 12, 2008
    Report Date
    March 12, 2008
    Manufacturer
    PLUS ORTHOPEDICS AG
    Product Code
    KWY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SZ
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO RESTRICTED MOVEMENT OF THE ROTATION PEGS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PLUS FEMORAL COMPONENT KWY PLUS ORTHOPEDICS AG NA 0305.13.2629

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R