BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    UNKNOWN CERAMIC ON CERAMIC HIP

    MDR report key: 1033030 · Received April 22, 2008

    Report

    Report Number
    9616680-2008-00095
    Event Type
    Malfunction
    Date Received
    April 22, 2008
    Date of Event
    March 25, 2007
    Report Date
    March 25, 2008
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    LZO
    PMA / PMN Number
    NI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    AT THIS TIME, NEITHER THE DEVICE NOR ADD'L INFO IS AVAILABLE.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PT IS EXPERIENCING SQUEAKING AND PAIN DEEP IN HIP AREA. PT IS NOW WALKING WITH CANE, DUE TO PAIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN CERAMIC ON CERAMIC HIP IMPLANT LZO STRYKER ORTHOPAEDICS CORK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other