BEUDAMED
    FDA Adverse Event Other Summary report: N

    DOW CORNING WRIGHT

    MDR report key: 104895 · Received July 8, 1997

    Report

    Report Number
    104895
    Event Type
    Other
    Date Received
    July 8, 1997
    Date of Event
    May 13, 1997
    Report Date
    June 4, 1997
    Manufacturer
    WRIGHT MEDICAL
    Product Code
    JDI
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FAILED RTHR-STEM MIGRATED. PT HAD A FEM FRACTURE AND SPLIT, AND A LOOSE CUP COMPONENT WEAR AND MIGRATION OF SHELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DOW CORNING WRIGHT Implant HIP PROSTHESIS JDI WRIGHT MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 53 YR Other