BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRIDENT 10 CROSSFIRE INSERT MM ID

    MDR report key: 1113311 · Received August 12, 2008

    Report

    Report Number
    9616680-2008-00243
    Event Type
    Malfunction
    Date Received
    August 12, 2008
    Date of Event
    July 7, 2008
    Report Date
    July 7, 2008
    Manufacturer
    STRYKER ORTHOPAEDICS CORK
    Product Code
    MEH
    PMA / PMN Number
    K983502
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    JA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING THE REVISION SURGERY CROSSFIRE INSERT DID NOT LOCK INTO THE TRIDENT ACETABULAR SHELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRIDENT 10 CROSSFIRE INSERT MM ID IMPLANT MEH STRYKER ORTHOPAEDICS CORK NA 26674501

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK