BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY

    MDR report key: 1021500 · Received March 19, 2008

    Report

    Report Number
    1021500
    Event Type
    Injury
    Date Received
    March 19, 2008
    Date of Event
    July 10, 2007
    Report Date
    February 8, 2008
    Manufacturer
    DEPUY A JOHNSON & JOHNSON CO.
    Product Code
    JDI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REMOVAL OF IMPLANTED LEFT HIP PROSTHESIS AND REPLACEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY HIP PROSTHESIS JDI DEPUY A JOHNSON & JOHNSON CO. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Required Intervention