FDA Adverse Event Injury Summary report: N

BHR

MDR report key: 1060222 · Received June 13, 2008

Report

Report Number
3005477969-2008-00036
Event Type
Injury
Date Received
June 13, 2008
Date of Event
June 6, 2008
Report Date
June 13, 2008
Manufacturer
SMITH & NEPHEW ORTHOPAEDICS LTD., UK
Product Code
KWY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT REVISION SURGERY HAS BEEN PERFORMED FOLLOWING FUSION OF PT'S FEMUR TO PELVIS. THIS FUSION RESULTED IN THE BHR IMPLANTS BEING SURROUNDED IN BONE. RESULTING IN NO RANGE OF MOTION. THE SURGEON DOES NOT FAULT THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BHR RESURFACING FEMORAL HEAD KWY SMITH & NEPHEW ORTHOPAEDICS LTD., UK NA UNK

Patients

Seq Age Sex Outcome Treatment
1 UNK Hospitalization| R BHR ACETABULAR CUP