BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HIP

    MDR report key: 1071761 · Received July 3, 2008

    Report

    Report Number
    9616680-2008-00184
    Event Type
    Malfunction
    Date Received
    July 3, 2008
    Date of Event
    June 13, 2008
    Report Date
    June 17, 2008
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    JDI
    PMA / PMN Number
    UNK
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    AN EVAL OF THE DEVICE CANNOT BE PERFORMED AS THE DEVICE WAS NOT RETURNED TO THE MFR. ADD'L INFO PERTAINING TO THE DEVICE(S) REFERENCED IN THIS REPORT WAS REQUESTED. IF ADD'L INFO BECOMES AVAILABLE, IT WILL BE SUBMITTED IN A SUPPLEMENTAL REPORT.

    Description of Event or Problem · 1

    IT WAS REPORTED, "PT PRESENTED WITH SQUEAKING HIP. AUDIBLE TO OTHER EMPLOYEES AT THE OFFICE."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HIP IMPLANT JDI STRYKER ORTHOPAEDICS CORK NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Other