BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CO-CR

    MDR report key: 1140957 · Received August 28, 2008

    Report

    Report Number
    1020279-2008-00236
    Event Type
    Injury
    Date Received
    August 28, 2008
    Date of Event
    July 21, 2008
    Report Date
    August 28, 2008
    Manufacturer
    SMITH & NEPHEW, INC., ORTHOPAEDIC DIV
    Product Code
    KWY
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    NA

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS PERFORMED DUE TO DISLOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CO-CR FEMORAL HEAD KWY SMITH & NEPHEW, INC., ORTHOPAEDIC DIV NA 00510367A

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Hospitalization| O