BEUDAMED
    FDA Adverse Event Other Summary report: N

    ZIMMER

    MDR report key: 1040912 · Received May 12, 2008

    Report

    Report Number
    MW5006828
    Event Type
    Other
    Date Received
    May 12, 2008
    Date of Event
    April 8, 2008
    Report Date
    April 23, 2008
    Manufacturer
    ZIMMER
    Product Code
    LXH
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING TOTAL HIP REPLACEMENT SURGERY ZIMMER TRIAL FEMORAL HIP BALL MALFUNCTIONED ENABLING THE HIP BALL TO SLIDE INTO THE INGUINAL AREA REQUIRING SURGICAL INTERVENTION TO REMOVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ZIMMER TRIAL FEMORAL HIP BALL LXH ZIMMER * *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other