FDA Adverse Event
Injury
Summary report: N
RIM-LOCK
MDR report key: 10363239
·
Received August 4, 2020
Report
- Report Number
- 3010536692-2020-00553
- Event Type
- Injury
- Date Received
- August 4, 2020
- Date of Event
- August 29, 2013
- Report Date
- August 4, 2020
- Manufacturer
- MICROPORT ORTHOPEDICS INC.
- Product Code
- LPH
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DE
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
ALLEGEDLY, WOUND INFECTION IN THE PATIENT RIGHT HIP WAS DETECTED. THE PATIENT HAD A MEDICAL INTERVENTION FOR WOUND DEBRIDEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 824787 | RIM-LOCK | HIP COMPONENT | LPH | MICROPORT ORTHOPEDICS INC. | PHA04658 | 1494324 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR | Required Intervention |