BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BHR

    MDR report key: 1032910 · Received April 23, 2008

    Report

    Report Number
    3005477969-2008-00023
    Event Type
    Injury
    Date Received
    April 23, 2008
    Report Date
    April 23, 2008
    Manufacturer
    SMITH & NEPHEW ORTHOPAEDICS LTD.
    Product Code
    KWB
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    EI
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BHR ACETABULAR CUP KWB SMITH & NEPHEW ORTHOPAEDICS LTD. NA 50950

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Hospitalization| R