BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DEPUY

    MDR report key: 1071108 · Received July 7, 2008

    Report

    Report Number
    1071108
    Event Type
    Injury
    Date Received
    July 7, 2008
    Date of Event
    May 15, 2008
    Report Date
    June 19, 2008
    Manufacturer
    DEPUY MANUFACTOR
    Product Code
    JDI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    BROKEN HIP PROSTHESIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DEPUY DEPUY METAL HIP PROSTHESIS JDI DEPUY MANUFACTOR

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization