FDA Adverse Event Injury Summary report: N

BHR

MDR report key: 1153073 · Received September 8, 2008

Report

Report Number
3005477969-2008-00066
Event Type
Injury
Date Received
September 8, 2008
Report Date
September 8, 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

REVISION SURGERY WAS PERFORMED DUE TO FEMORAL NECK FRACTURE. PT WAS IMPLANTED FOR APPROX 18 MOS.

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 ACETABULAR CUP